Physician
Urology
Urology
WICHITA, KS
WESLEY MEDICAL CENTER
ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC.
VIA CHRISTI HOSPITAL WICHITA ST TERESA, INC
healthcare.ascension.org/locations/kansas/kswic/wichita-ascension-via-christi-st-teresa
Based on specialty. Actual services may vary — contact the provider's office to confirm.
Based on CMS Medicare Provider Utilization data for 2023. These represent what this physician charged Medicare, not necessarily what you would pay. Compare with other physicians
| Procedure | Avg Charge | Medicare Allowed | Medicare Paid | Services |
|---|---|---|---|---|
64561 Insertion of sacral nerve neurostimulator electrode array | $3,281 | $400 | $320 | 24 |
50590 Shock wave crushing of kidney stones | $2,200 | $532 | $413 | 15 |
52356 Crushing of stone of ureter with insertion of stent using an endoscope | $2,123 | $360 | $289 | 32 |
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | $1,600 | $175 | $140 | 32 |
74176 Ct scan of abdomen and pelvis without contrast | $1,100 | $104 | $81 | 54 |
74178 Ct scan of abdomen and pelvis before and after contrast | $1,100 | $240 | $184 | 34 |
52332 Insertion of stent in ureter using an endoscope | $1,031 | $116 | $89 | 32 |
64590 Insertion of peripheral or gastric neurostimulator generator | $747 | $70 | $56 | 12 |
J9217 Leuprolide acetate (for depot suspension), 7.5 mg | $700 | $167 | $131 | 81 |
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies | $635 | $339 | $257 | 13 |
52000 Diagnostic exam of bladder and urethra using an endoscope | $580 | $211 | $164 | 45 |
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings | $535 | $30 | $24 | 13 |
55700 Biopsy of prostate gland | $521 | $119 | $94 | 49 |
55874 Injection of biodegradable material next to prostate | $480 | $150 | $107 | 38 |
74420 Imaging of urinary tract following injection of a contrast agent | $377 | $23 | $19 | 18 |
55876 Placement of device in prostate for radiation therapy | $320 | $47 | $34 | 37 |
99204 New patient office or other outpatient visit, 45-59 minutes | $280 | $155 | $108 | 168 |
76872 Ultrasound scan of pelvic region through rectum | $270 | $31 | $24 | 47 |
51797 Insertion of device into abdomen with pressure and urine flow rate study | $257 | $179 | $143 | 13 |
51702 Simple insertion of temporary bladder tube | $250 | $57 | $42 | 38 |
51720 Instillation of anti-cancer drug into bladder | $235 | $82 | $60 | 35 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $225 | $169 | $117 | 15 |
51705 Simple change of bladder tube | $190 | $89 | $67 | 50 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $165 | $120 | $83 | 543 |
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming | $158 | $35 | $28 | 11 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $130 | $85 | $55 | 180 |
84403 Testosterone (hormone) level, total | $125 | $25 | $25 | 82 |
74018 X-ray of abdomen, 1 view | $83 | $28 | $20 | 48 |
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle | $75 | $31 | $24 | 24 |
84153 Psa (prostate specific antigen) measurement, total | $72 | $18 | $18 | 295 |
51798 Ultrasound measurement of bladder capacity after voiding | $48 | $10 | $7 | 179 |
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $45 | $22 | $17 | 36 |
80047 Blood test, basic group of blood chemicals (calcium, ionized) | $25 | $13 | $13 | 98 |
36415 Insertion of needle into vein for collection of blood sample | $19 | $8 | $8 | 370 |
81001 Manual urinalysis test with examination using microscope, automated | $18 | $3 | $3 | 230 |
J9030 Bcg live intravesical instillation, 1 mg | $11 | $3 | $2 | 1,044 |
81003 Automated urinalysis test | $10 | $2 | $2 | 253 |
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | $1 | $0 | $0 | 6,130 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.