MICHAEL DOUGLAS, D.O.
Urology Physician · OAK RIDGE, TN
Individual Active NPI 1902169543
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 273 | 1,258 | $325,323 | $122,016 | $95,510 |
| 2023 | 218 | 479 | $117,078 | $55,706 | $40,750 |
| 2022 | 247 | 2,047 | $211,599 | $120,846 | $91,101 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 213 | $2 | $2 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 191 | $116 | $90 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 139 | $151 | $115 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 84 | $212 | $167 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 82 | $10 | $8 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 81 | $82 | $63 |
| 52442 | Insertion of implant in urethra within prostate gland using an endoscope, each additional implant | 60 | $45 | $36 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 47 | $72 | $57 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 34 | $119 | $95 |
| 36415 | Insertion of needle into vein for collection of blood sample | 29 | $9 | $9 |
| 84153 | Psa (prostate specific antigen) measurement, total | 23 | $18 | $18 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 22 | $101 | $69 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | TN0000003191 | TN |
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.