Dae Y Kim – Medicare physician by provider and services – Page 2

All Medicare Physician Services

Here you can view detailed information about the provider’s Medicare services. It includes the total number of beneficiaries they have served, the total services provided, and the average Medicare payments and charges. You’ll also see the RUCA (Rural-Urban Commuting Area) classification, which helps identify whether the provider is located in an urban or rural area. This data provides insight into the provider's work with Medicare patients.

HCPCS 76872 RUCA 1

Ultrasound scan of pelvic region through rectum

1145 S Utica Ave, Tulsa, OK74104
Provider Type: Urology

Total Beneficiaries

23

Total Services

23

Avg Submitted Charges

$75.87

Avg Medicare Payment

$23.79

Avg Medicare Allowed

$29.75

Avg Medicare Standardized

$25.51

Total Beneficiary Day Services

23

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

HCPCS 76872 RUCA 1

Ultrasound scan of pelvic region through rectum

1145 S Utica Ave, Tulsa, OK74104
Provider Type: Urology

Total Beneficiaries

41

Total Services

42

Avg Submitted Charges

$136.07

Avg Medicare Payment

$65.44

Avg Medicare Allowed

$82.04

Avg Medicare Standardized

$70.86

Total Beneficiary Day Services

42

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

HCPCS 76942 RUCA 1

Ultrasonic guidance for needle placement

1145 S Utica Ave, Tulsa, OK74104
Provider Type: Urology

Total Beneficiaries

18

Total Services

18

Avg Submitted Charges

$84.61

Avg Medicare Payment

$27.82

Avg Medicare Allowed

$34.79

Avg Medicare Standardized

$30.44

Total Beneficiary Day Services

18

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

HCPCS 81002 RUCA 1

Urinalysis, manual test

1145 S Utica Ave, Tulsa, OK74104
Provider Type: Urology

Total Beneficiaries

255

Total Services

279

Avg Submitted Charges

$7.00

Avg Medicare Payment

$3.40

Avg Medicare Allowed

$3.40

Avg Medicare Standardized

$3.41

Total Beneficiary Day Services

279

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

HCPCS 96402 RUCA 1

Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle

1145 S Utica Ave, Tulsa, OK74104
Provider Type: Urology

Total Beneficiaries

12

Total Services

17

Avg Submitted Charges

$65.00

Avg Medicare Payment

$24.75

Avg Medicare Allowed

$30.95

Avg Medicare Standardized

$26.83

Total Beneficiary Day Services

17

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

HCPCS 99203 RUCA 1

New patient office or other outpatient visit, 30-44 minutes

1145 S Utica Ave, Tulsa, OK74104
Provider Type: Urology

Total Beneficiaries

42

Total Services

42

Avg Submitted Charges

$224.00

Avg Medicare Payment

$76.98

Avg Medicare Allowed

$103.82

Avg Medicare Standardized

$82.97

Total Beneficiary Day Services

42

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

HCPCS 99204 RUCA 1

New patient office or other outpatient visit, 45-59 minutes

1145 S Utica Ave, Tulsa, OK74104
Provider Type: Urology

Total Beneficiaries

133

Total Services

133

Avg Submitted Charges

$344.00

Avg Medicare Payment

$118.89

Avg Medicare Allowed

$156.48

Avg Medicare Standardized

$125.38

Total Beneficiary Day Services

133

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

HCPCS 99211 RUCA 1

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional

1145 S Utica Ave, Tulsa, OK74104
Provider Type: Urology

Total Beneficiaries

30

Total Services

54

Avg Submitted Charges

$40.00

Avg Medicare Payment

$14.53

Avg Medicare Allowed

$21.35

Avg Medicare Standardized

$15.90

Total Beneficiary Day Services

54

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

HCPCS 99213 RUCA 1

Established patient office or other outpatient visit, 20-29 minutes

1145 S Utica Ave, Tulsa, OK74104
Provider Type: Urology

Total Beneficiaries

158

Total Services

175

Avg Submitted Charges

$158.00

Avg Medicare Payment

$60.36

Avg Medicare Allowed

$84.94

Avg Medicare Standardized

$63.88

Total Beneficiary Day Services

175

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

HCPCS 99214 RUCA 1

Established patient office or other outpatient visit, 30-39 minutes

1145 S Utica Ave, Tulsa, OK74104
Provider Type: Urology

Total Beneficiaries

467

Total Services

629

Avg Submitted Charges

$224.00

Avg Medicare Payment

$88.71

Avg Medicare Allowed

$119.37

Avg Medicare Standardized

$94.22

Total Beneficiary Day Services

629

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

HCPCS 99223 RUCA 1

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes

1145 S Utica Ave, Tulsa, OK74104
Provider Type: Urology

Total Beneficiaries

51

Total Services

53

Avg Submitted Charges

$433.00

Avg Medicare Payment

$118.66

Avg Medicare Allowed

$164.28

Avg Medicare Standardized

$124.38

Total Beneficiary Day Services

53

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

HCPCS J9217 Drug RUCA 1

Leuprolide acetate (for depot suspension), 7.5 mg

1145 S Utica Ave, Tulsa, OK74104
Provider Type: Urology

Total Beneficiaries

14

Total Services

60

Avg Submitted Charges

$505.00

Avg Medicare Payment

$131.13

Avg Medicare Allowed

$173.22

Avg Medicare Standardized

$131.13

Total Beneficiary Day Services

20

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater