RALPH HIGHSHAW, MD
Urology Physician · PALM COAST, FL
Individual Active NPI 1386726453
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 305 | 850 | $448,219 | $149,274 | $116,523 |
| 2023 | 31 | 52 | $24,938 | $8,333 | $6,655 |
| 2022 | 118 | 266 | $96,301 | $38,743 | $30,013 |
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 | 190 | $180 | $142 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 162 | $221 | $165 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 106 | $128 | $102 |
| 81003 | Automated urinalysis test | 48 | $2 | $2 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 43 | $91 | $71 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 36 | $167 | $117 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 30 | $11 | $9 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 30 | $234 | $188 |
| 52332 | Insertion of stent in ureter using an endoscope | 22 | $157 | $125 |
| 76872 | Ultrasound scan of pelvic region through rectum | 20 | $32 | $26 |
| 55700 | Biopsy of prostate gland | 19 | $133 | $107 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 18 | $174 | $134 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | ME129129 | FL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.