Physician

Raymond S. Lance, M.D.

According to 2025 Medicare claims, Raymond Lance, M.D. (NPI: 1710930607) practices urology in the Spokane-Spokane Valley, WA market, with the plurality of this provider's patient population coming from Spokane, WA. This provider's primary affiliated billing organization is SPOKANE UROLOGY PLLC (NPI: 1912015439; TIN: 911043589) and primary practice location at 99202-2902. Lance is affiliated with the Kootenai Accountable Care, LLC (ACO ID: A3621), Caravan Collaborative Pathways (ACO ID: A4604), Caravan Health ACO 50 LLC (ACO ID: A5160), Collaborative ACO 30, LLC (ACO ID: A5483), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Lance's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 630 traditional Medicare patients, billed 9,060 HCPCS/CPT codes, and received $1,411,784 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 2,406 prescription claims across 559 beneficiaries totaling $3,585,709 in drug costs, led by Nubeqa (Darolutamide). DME data shows 147 claims. Open Payments data shows 176 records totaling $160,992. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $180,403 to $1,411,784. Similarly, Part D prescription costs have risen steadily, from $236,919 to $3,585,709. In contrast, DME billing represents a smaller volume and fell sharply in recent years, from $390 to $341.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	316	5,145	$180,403
2016	404	6,544	$275,442
2017	507	7,708	$321,669
2018	628	12,558	$828,807
2019	604	10,344	$693,002
2020	692	12,258	$767,515
2021	658	13,204	$1,277,506
2022	604	5,722	$558,998
2023	552	6,613	$511,022
2024	630	9,060	$1,411,784

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	216	539	$236,919
2016	261	846	$75,296
2017	302	917	$245,687
2018	332	1,193	$1,139,753
2019	355	1,354	$1,989,944
2020	433	1,640	$2,906,353
2021	441	1,817	$3,639,417
2022	435	1,684	$1,432,920
2023	438	1,625	$1,394,310
2024	559	2,406	$3,585,709

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	30	141	$12,691
2016	26	202	$42,693
2017	43	269	$42,242
2018	15	269	$40,676
2019	74	476	$45,492
2020	40	317	$44,117
2021	12	221	$59,623
2022	N/R	210	$59,777
2023	N/R	186	$63,995
2024	N/R	147	$55,573

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	143	143	$115
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	286	407	$91
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	273	384	$62
76872	Ultrasound scan of pelvic region through rectum	129	131	$49
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	466	747	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Nubeqa	Darolutamide	120	3,780	$1,671,029
Erleada	Apalutamide	58	1,740	$842,306
Orgovyx	Relugolix	242	7,256	$632,241
Xtandi	Enzalutamide	25	750	$335,353
Abiraterone Acetate	Abiraterone Acetate	39	1,350	$40,214

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each	N	N/R	39	$44,255
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	33	$7,939
A4432	Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each	N	N/R	14	$2,197
A5131	Appliance cleaner, incontinence and ostomy appliances, per 16 oz.	N	N/R	14	$381
A4456	Adhesive remover, wipes, any type, each	N	N/R	20	$341

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	95	$7,249	Astellas Pharma US Inc
Research Payments	Reported research-related payment or transfer-of-value amount.	81	$153,743	Bayer Healthcare Pharmaceuticals Inc.
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Raymond S. Lance, M.D.?

Tedicare shows public-source Medicare data for Raymond S. Lance, M.D. (NPI 1710930607), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Raymond S. Lance, M.D. have ACO affiliation data?

Raymond S. Lance, M.D. is shown with ACO affiliation data for Kootenai Accountable Care, LLC (MSSP, ACO ID A3621), Caravan Collaborative Pathways (MSSP, ACO ID A4604), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), Collaborative ACO 30, LLC (MSSP, ACO ID A5483), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Raymond S. Lance, M.D.?

Raymond S. Lance, M.D. is linked to SPOKANE UROLOGY PLLC (billing NPI 1912015439) in the available physician profile data.

Does Raymond S. Lance, M.D. have Open Payments data?

Raymond S. Lance, M.D. has 176 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.