Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician NPI deactivated

Urology Professional Association

Urology Professional Association was paid $169K by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.

33Billing provider infoUROLOGY PROFESSIONAL ASSOCIATION
TUPELO, MS 38801
33aNPI1508886805assigned 07/20/2006
33bProvider typeUrology Physician
28Total paid$169K
24GClaims35,149
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Urology Physician providers in Mississippi

Rank by total paid#3 of 25
Median peer was paid$33K
This provider vs. median5.1×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20182,457$32K
201910,284$36K
20206,251$22K
202110,088$28K
20223,487$19K
20231,721$9K
2024incomplete861$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 54% 5,235 4,206 $91K
1036F 21% 3,494 2,993 $35K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13% 2,092 1,740 $22K
3017F 4.7% 3,830 3,294 $8K
0509F 2.0% 270 246 $3K
81003 1.6% 1,469 1,344 $3K
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 1.4% 236 160 $2K
4040F <1% 3,871 3,344 $2K
51798 <1% 1,344 961 $799.75
1090F <1% 651 573 $588.23
G8482 Influenza immunization administered or previously received <1% 2,675 2,292 $473.97
G8420 Bmi is documented within normal parameters and no follow-up plan is required <1% 940 808 $289.92
12 more codes
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 4,338 $182.12
81001 <1% 178 $150.75
G9903 Patient screened for tobacco use and identified as a tobacco non-user <1% 3,463 $102.57
74021 <1% 109 $98.16
88108 <1% 12 $41.64
G8417 Bmi is documented above normal parameters and a follow-up plan is documented <1% 568 $11.38
36415 Collection of venous blood by venipuncture <1% 56 $10.80
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) 0% 12 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 140 $0.00
52000 0% 38 $0.00
P9612 Catheterization for collection of specimen, single patient, all places of service 0% 113 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 0% 15 $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 officialFALLIN, GARY (CEO)