MICHAEL WHALEN, M.D.
Urology Physician · WASHINGTON, DC
Individual Active NPI 1164675245
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 330 | 3,423 | $793,666 | $228,741 | $174,729 |
| 2023 | 439 | 8,779 | $1,457,517 | $386,478 | $297,088 |
| 2022 | 397 | 6,002 | $1,103,862 | $321,989 | $248,720 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 218 | $178 | $129 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 188 | $124 | $94 |
| J9201 | Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg | 140 | $3 | $3 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 128 | $268 | $192 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 94 | $13 | $10 |
| 81003 | Automated urinalysis test | 83 | $2 | $2 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 77 | $98 | $77 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 69 | $53 | $41 |
| 76872 | Ultrasound scan of pelvic region through rectum | 46 | $33 | $27 |
| 55706 | Needle biopsy of prostate gland using image guidance | 45 | $404 | $320 |
| 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 | 43 | $17 | $14 |
| 51741 | Electronic assessment of bladder emptying | 42 | $9 | $7 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | 044326 | DC |
| Urology Physician | 208800000X | 54046 | CT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Urology Physician providers in District of Columbia →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.