Physician
Cape Girardeau Urology Associates, INC.
Cape Girardeau Urology Associates, INC. was paid $119K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoCAPE GIRARDEAU UROLOGY ASSOCIATES, INC.
CAPE GIRARDEAU, MO 63703
CAPE GIRARDEAU, MO 63703
33aNPI1194734582assigned 08/05/2006
33bProvider typeUrology Physician
28Total paid$119K
24GClaims13,428
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urology Physician providers in Missouri
Rank by total paid#3 of 26
Median peer was paid$3K
This provider vs. median42×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,743 | $8K | |
| 2019 | 1,069 | $9K | |
| 2020 | 829 | $5K | |
| 2021 | 1,762 | $13K | |
| 2022 | 2,018 | $17K | |
| 2023 | 2,687 | $29K | |
| 2024incomplete | 3,320 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 61% | 2,369 | 1,852 | $72K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 1,059 | 934 | $22K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 7.3% | 160 | 116 | $9K |
| 81000 | 6.8% | 7,848 | 6,707 | $8K | |
| 51798 | 3.0% | 713 | 604 | $4K | |
| 51701 | 2.6% | 216 | 165 | $3K | |
| 74018 | <1% | 109 | 83 | $1K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 254 | 191 | $337.40 |
| 1036F | 0% | 201 | 196 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 92 | 89 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 339 | 327 | $0.00 |
| 4040F | 0% | 50 | 48 | $0.00 |
1 more codes
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 18 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialNUSSBAUM, LISA (OFFICE MANAGER)