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LANCE, RAYMONDM.D. NPI 1710930607 Clinician

Urology · SPOKANE, WA

Specialty Urology — from billed Medicare claims
Trained UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED — medical school, self-reported to CMS
In practice about 35 years since medical school (class of 1991, self-reported to CMS)
Location SPOKANE, WA · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 32 codes billed · 5,560 disclosed services (CY2024 — most recent year in data)
Current groups

Group affiliation since 2019

20192026
SPOKANE UROLOGY PLLC
2019–2026

The roster archive begins in 2019, so a span starting at 2019 may reach back further. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2023-11

Year: 2024 · 2023 · 2022  · 2021  · 2020 

Provider overview · all codes · CY2024

The full analytics for this provider

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The billed-volume positioning, practice focus, and economics behind this provider — computed on the same disclosed Medicare Part B data.

This provider's disclosed Medicare payments across all codes were in CY2024. Unlock to see the figure.

  • Payment, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Volume over five years — discrete yearly counts, no rate
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

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Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Services Beneficiary-episodes Avg charge Avg Medicare payment
J0897 Injection, denosumab, 1 mg
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
J9217 Leuprolide acetate (for depot suspension), 7.5 mg
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
36415 Insertion of needle into vein for collection of blood sample
76872 Ultrasound scan of pelvic region through rectum
J3315 Injection, triptorelin pamoate, 3.75 mg
52000 Diagnostic exam of bladder and urethra using an endoscope
81002 Urinalysis, manual test
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
55706 Needle biopsy of prostate gland using image guidance
96372 Injection of drug or substance under skin or into muscle
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle
J3260 Injection, tobramycin sulfate, up to 80 mg
74420 Imaging of urinary tract following injection of a contrast agent
G0103 Prostate cancer screening; prostate specific antigen test (psa)
J1580 Injection, garamycin, gentamicin, up to 80 mg
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
52332 Insertion of stent in ureter using an endoscope
55700 Biopsy of prostate gland
51798 Ultrasound measurement of bladder capacity after voiding
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
38571 Removal of lymph nodes of both sides of pelvis using an endoscope
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
84403 Testosterone (hormone) level, total
84153 Psa (prostate specific antigen) measurement, total
55874 Injection of biodegradable material next to prostate
55876 Placement of device in prostate for radiation therapy
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.