MARK NISHIYA, MD
Urology Physician · GRAND JUNCTION, CO
Individual Active NPI 1760411995
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 289 | 1,800 | $925,701 | $180,903 | $140,853 |
| 2023 | 325 | 1,874 | $958,862 | $181,166 | $141,632 |
| 2022 | 304 | 1,723 | $811,304 | $170,186 | $132,547 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 234 | $34 | $34 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 189 | $130 | $88 |
| 81003 | Automated urinalysis test | 155 | $2 | $2 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 115 | $12 | $8 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 114 | $3 | $3 |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 90 | $34 | $34 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 86 | $168 | $113 |
| 57267 | Insertion of artificial material for pelvic floor defect | 58 | $212 | $170 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 53 | $244 | $186 |
| 87801 | Detection test by nucleic acid for multiple organisms, amplified probe(s) technique | 48 | $63 | $63 |
| 99459 | Pelvic exam | 39 | $24 | $18 |
| 57288 | Creation of sling around urethra in female to control leakage | 33 | $393 | $310 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | 330113 | CO |
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.