MANCHESTER UROLOGY ASSOCIATES PROFESSIONAL ASSOCIATION
NPI 1578660700, organization, Manchester, NH, Urology
Public list actions
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(1) noncompliance (dme standards not met) | Exact NPI, name verified | Jul 1, 2021 | Mar 3, 2027 | 40 | Aug 2021 | Nov 2024 | $33K | $16K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MANCHESTER UROLOGY ASSOCIATES PROFESSIONAL ASSOCIATION |
| Type | Organization |
| Status | Active |
| NPI issued | September 20, 2006, last updated August 10, 2021 |
| Practice location | 4 ELLIOT WAY, SUITE 200, Manchester, NH 03103-3547, 603-669-9200 |
| Mailing address | 17 RIVERSIDE ST, Nashua, NH 03062-1304 |
| Authorized official | ANN GILBERT (Practice Manager) |
| Specialties | Urology (208800000X, primary) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $45K | 49% | $26 | $44 (top 5% from $110) | too few months to rank | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $30K | 32% | $38 | $60 (top 5% from $133) | too few months to rank | |
| 81003 | Automated urinalysis test | $8K | 9% | $1.09 | $1.54 (top 5% from $4.70) | too few months to rank | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $6K | 6% | $52 | $95 (top 5% from $171) | too few months to rank | |
| 51798 | Ultrasound measurement of bladder capacity after voiding | $4K | 4% | $6.69 | $7.53 (top 5% from $35) | too few months to rank | |
| 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 | $260 | 0% | $4.56 | $2.41 (top 5% from $16) | too few months to rank | |
| 81001 | Manual urinalysis test with examination using microscope, automated | $115 | 0% | $1.89 | $2.14 (top 5% from $19) | too few months to rank |
In this area
2 providers in Hillsborough County, NH carry an indicator in the public record, with $1.2M at stake between them. The most common is part of a provider network, on 1 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | HANOVER HILL HEALTH CARE CENTER SERVICES INC. Manchester, NH, ranked 1669 | $689 |
|
| 5 | MICHAEL BOGGS Wilton, NH, ranked 10075 | $1.2M |
|
Recent enforcement in NH
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.