GREGORY BROUGHTON, MD
Urology Physician · FAIRFIELD, OH
Individual Active NPI 1629272109
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 304 | 3,326 | $696,355 | $160,591 | $123,743 |
| 2023 | 337 | 1,092 | $277,249 | $95,042 | $70,423 |
| 2022 | 442 | 1,389 | $359,771 | $169,806 | $126,140 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 333 | $121 | $92 |
| 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 | 318 | $16 | $11 |
| 81002 | Urinalysis, manual test | 216 | $3 | $3 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 136 | $10 | $7 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 86 | $157 | $95 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 60 | $70 | $55 |
| 84153 | Psa (prostate specific antigen) measurement, total | 56 | $18 | $18 |
| 76872 | Ultrasound scan of pelvic region through rectum | 54 | $31 | $24 |
| 36415 | Insertion of needle into vein for collection of blood sample | 36 | $9 | $9 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 28 | $60 | $48 |
| 55700 | Biopsy of prostate gland | 24 | $124 | $95 |
| 51728 | Complex measurement of pressure of urine flow in bladder with voiding pressure studies | 23 | $170 | $136 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | 35.148533 | OH |
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.