NEVVI Medicare utilization intelligence

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FITZGERALD, JAMESM.D. NPI 1841297710 Clinician

Urology · NORTH EASTON, MA

Specialty Urology — from billed Medicare claims
Trained GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE — medical school, self-reported to CMS
In practice about 35 years since medical school (class of 1991, self-reported to CMS)
Location NORTH EASTON, MA · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 37 codes billed · 9,537 disclosed services (CY2024 — most recent year in data)
Current groups

Group affiliation since 2019

20192026

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 2013-05

Year: 2024 · 2023 · 2022 locked column · 2021 locked column · 2020 locked column

Provider overview · all codes · CY2024

The full analytics for this provider

Premium

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 premium in CY2024. Included with Platform.

  • 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 locked column Beneficiary-episodes locked column Avg charge locked column Avg Medicare payment locked column
87798 Detection test by nucleic acid for organism, amplified probe technique premiumpremium premiumpremium
81003 Automated urinalysis test premiumpremium premiumpremium
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more premiumpremium premiumpremium
51798 Ultrasound measurement of bladder capacity after voiding premiumpremium premiumpremium
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more premiumpremium premiumpremium
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month premiumpremium premiumpremium
76770 Complete ultrasound scan behind abdominal cavity premiumpremium premiumpremium
36415 Insertion of needle into vein for collection of blood sample premiumpremium premiumpremium
84153 Psa (prostate specific antigen) measurement, total premiumpremium premiumpremium
87500 Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique premiumpremium premiumpremium
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique premiumpremium premiumpremium
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more premiumpremium premiumpremium
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month premiumpremium premiumpremium
J9217 Leuprolide acetate (for depot suspension), 7.5 mg premiumpremium premiumpremium
52000 Diagnostic exam of bladder and urethra using an endoscope premiumpremium premiumpremium
64566 Insertion of lower leg neurostimulator electrode premiumpremium premiumpremium
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 premiumpremium premiumpremium
76872 Ultrasound scan of pelvic region through rectum premiumpremium premiumpremium
84154 Psa (prostate specific antigen) measurement, free premiumpremium premiumpremium
51702 Simple insertion of temporary bladder tube premiumpremium premiumpremium
51741 Electronic assessment of bladder emptying premiumpremium premiumpremium
96372 Injection of drug or substance under skin or into muscle premiumpremium premiumpremium
A4648 Tissue marker, implantable, any type, each premiumpremium premiumpremium
99427 Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month premiumpremium premiumpremium
51700 Simple bladder irrigation and/or instillation premiumpremium premiumpremium
76870 Ultrasound scan of scrotum premiumpremium premiumpremium
J1580 Injection, garamycin, gentamicin, up to 80 mg premiumpremium premiumpremium
55874 Injection of biodegradable material next to prostate premiumpremium premiumpremium
55700 Biopsy of prostate gland premiumpremium premiumpremium
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings premiumpremium premiumpremium
55876 Placement of device in prostate for radiation therapy premiumpremium premiumpremium
84403 Testosterone (hormone) level, total premiumpremium premiumpremium
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies premiumpremium premiumpremium
50590 Shock wave crushing of kidney stones premiumpremium premiumpremium
82565 Blood creatinine level premiumpremium premiumpremium
84520 Urea nitrogen level to assess kidney function, quantitative premiumpremium premiumpremium
52224 Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm premiumpremium premiumpremium

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.