Urology
Revenue benchmarks for Urology practices. E&M coding optimization, care management opportunities, and procedure-adjacent billing.
$76K
Avg Missed/Year
13K
US Providers
500
Avg Patients
2.5
Avg Chronic Dx
Specialty Overview
Urology practices manage a large Medicare patient base (500 avg) with moderate chronic disease complexity. E&M coding optimization is the primary revenue opportunity, as many urology visits for complex conditions like prostate cancer management and recurrent UTIs support higher MDM levels than typically coded.
Key Insight: Urology sees 500 Medicare patients on average — the 3rd highest volume of any specialty. Even small E&M coding improvements across that volume create outsized revenue impact.
E&M Coding Distribution
National benchmark for Urology E&M code distribution. Compare your practice against these targets to identify coding optimization opportunities.
99213
32%
$92/visit
99214
48%
$130/visit
99215
20%
$176/visit
Revenue Gap Breakdown
E&M Coding Gap
32% 99213 usage is high for a specialty managing cancer and complex surgical follow-ups. Benchmark: 32% 99213 / 48% 99214 / 20% 99215.
CCM (99490)
7% adoption. Patients with BPH plus hypertension or diabetes qualify for CCM.
RPM (99453-99458)
Post-surgical monitoring and chronic condition management via RPM. 4% adoption.
AWV (G0438/G0439)
10% AWV rate. PSA screening discussion is a natural AWV add-on.
BHI (99484)
Prostate cancer diagnosis frequently triggers depression and anxiety. 14% prevalence.
Care Management Adoption Rates
CCM
7%
Target: 15%
RPM
4%
Target: 10%
BHI
2%
Target: 10%
AWV
10%
Target: 70%
Common Chronic Conditions
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