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Dr. Raymond S. Lance, MD

Specializes in: Urology (Urinary Tract Disease)
Uniformed Services University of the Health Sciences, F. Edward Hébert School of Medicine (1991)
Professional interests include: urinary retention, cystoscopy, cystocele (bladder prolapse), and more.
1401 E Trent Avenue Suite 200
Spokane, WA 99202

Dr. Raymond S. Lance, MD is an urologist in Spokane, WA specializing in urology (urinary tract disease). He graduated from Uniformed Services University of the Health Sciences, F. Edward Hébert School of Medicine in 1991 and has 35 years of experience. Dr. Raymond S. Lance, MD is affiliated with Providence, SPOKANE UROLOGY PLLC and Spokane Urology.

View Doctor's Full Profile (509) 747-3147

Office Locations

12525 E Mission Avenue Suite 202
Spokane, WA 99212
open_in_new
1401 E Trent Avenue Suite 200
Spokane, WA 99202
(509) 747-3147
(509) 747-0020
open_in_new

Providence

820 South Mcclellan Street Suite 118
Spokane, WA 99204
(509) 747-3147
open_in_new

Some issues Dr. Raymond S. Lance, MD can help you with:

Benign Prostatic Hyperplasia (Enlarged Prostate)

Benign prostatic hyperplasia (BPH) is a noncancerous condition in which the prostate gland becomes enlarged. BPH affects about half of men between the ages of 50 and 60, and approximately 80% of men over 80. As the prostate grows in size, it can press down on the tube where urine flows out of the body (the urethra) and cause urinary problems.

Medication can relieve mild to moderate symptoms of BPH, such as frequent urination, incomplete bladder emptying, a weak urine stream, and straining while urinating. However, other forms of treatment may be more appropriate if an individual has pain with urination, frequent urinary tract infections, or is unable to urinate. The size of the prostate and the severity of their symptoms will determine the type of treatment they need. If the prostate is not very large, doctors will likely recommend a transurethral procedure. This minimally invasive technique involves the insertion of a scope into the urethra. The most common transurethral procedures for BPH are:

  • Transurethral incision of the prostate or TUIP, where the surgeon uses the scope to make small cuts in the area of the prostate that meets the bladder. These cuts will open up the pathway for urine and allow it to flow with more ease.
  • Transurethral needle ablation or TUNA, where needles are inserted through the scope and into the prostate. The needles use radiofrequency waves to destroy excess prostate tissue.
  • Laser prostate ablation, where lasers pass through the scope to melt away the part of the prostate causing urine blockage.
  • Transurethral resection of the prostate or TURP, where the inside of the prostate is trimmed and removed one tiny piece at a time using the scope.

If the prostate is too big for a transurethral procedure, an individual may need a simple prostatectomy, which can be done in one of three ways: laparoscopic, robotic, or open. During a laparoscopic simple prostatectomy, a surgeon makes several small incisions on the belly. Then they insert a long tube with a camera into one of the cuts and surgical instruments into the others. Using the camera to see inside the belly, they carefully removes the enlarged part of the prostate. Robotic simple prostatectomy uses the same techniques as the laparoscopic method, but the surgery is done with the help of a robot. For men with very large prostates, open simple prostatectomy may be the best treatment option. This surgery differs from the other approaches in that it requires a much larger incision.

Most transurethral treatments for BPH, like TUIP, TUNA, and laser prostate ablation, are done in the doctor's office or outpatient surgery center. TURP and simple prostatectomy, however, need to be performed in the hospital and require an average stay of one to three days. Patients should wait a week before doing any strenuous activities after a TUIP, TUNA, or laser prostate ablation, and about four to six weeks after a TURP or simple prostatectomy. Although these treatments improve BPH symptoms for most patients, it is important to be aware of the risks involved, such as urine control issues, tightening of the urethra, and erectile dysfunction.

Kidney Stones

Kidney stones are hard deposits that form in the kidneys, made up of minerals that are normally present in urine. They can vary in size, from as small as a grain of sand to as large as a nickel, occasionally even larger. Sometimes they lodge in the kidney, and sometimes they break free and make their way out through the urinary tract, which can be extremely painful.

Kidney stones can be smooth or jagged and are yellow to brown in color. They are mostly comprised of the minerals calcium, oxalate, and phosphorus. Examining the stones to see what they are made of can show what caused the stone to be formed in the first place. For example, a stone made of mostly calcium, which is the most common type, can happen any time the urine becomes too concentrated due to dehydration or a blockage in the kidney. A uric acid stone forms when acid levels in the urine get too high, usually due to excessive consumption of animal protein such as meat and fish. A struvite stone is a sign of certain infections, and a cystine stone can be due to a genetic disorder that raises the risk of kidney stones.

The most common symptom of kidney stones is pain, either in the back or lower abdomen, or severe pain when urinating. There may also be blood in the urine. Treatment for kidney stones depends on how large the stone is. Very small stones can pass out of the body on their own, and they do not require treatment other than drinking adequate water and taking pain killers. Larger stones need to be broken apart and removed. The main treatment options are:

  • Shock wave lithotripsy, which uses sound wave vibrations to break apart the stone
  • Percutaneous nephrolithotomy, or the use of a very tiny tool (like a wire inserted through the back) to break apart and remove the stone
  • Ureteroscopy, a thin tube inserted through the urethra and bladder to the stone, where tiny tools can grasp the stone and remove

People who have had one kidney stone are at risk of developing another. To reduce this risk, patients are given instructions specific to the type of stone they developed. Generally the instructions will include drinking more water to dilute the urine, but it may also involve lowering sodium intake or eating less meat.

Urodynamics (Bladder and Urethra Function Test)

Urodynamics are tests that assess how well the lower urinary tract is functioning. Specifically, they evaluate its ability to hold and release urine, as well as show if any blockages or leaks are present. The lower urinary tract is made up of the following:

  • The bladder, which stores urine.
  • The urinary sphincters, which are muscles around the opening of the bladder that hold urine in.
  • The urethra, which is the tube where urine flows out of the body.

Urodynamics tests are normally performed together as one series, but depending on patients' symptoms, only one or some of them may be necessary. The most common tests are:

  • Cystometrogram, which measures the amount of urine the bladder can store and how full it is before someone has the urge to urinate. Doctors may order this test if she suspects their patient has a weak bladder.
  • Pressure flow study, which measures the pressure in the bladder while urinating. This test helps locate a blockage in the bladder.
  • Uroflowmetry, which measures how much and how fast urine flows out of the body. This test is usually recommended when patients have difficulty urinating or they have a slow stream.
  • Urethral sphincter electromyography, which measures how strong the muscles and nerves in the bladder and sphincters are. Doctors may request this test if the problem they are experiencing is linked to muscle or nerve damage in the lower urinary tract.
  • Urethral pressure profile, which measures the pressure along the urethra while the bladder is gradually filled with fluid. Low pressure could mean someone has a weak urethra, a contributing factor to urinary incontinence (loss of bladder control).

For a few hours following a urodynamics study, patients will likely feel some soreness or discomfort. It is recommended to drink at least one glass of water every half hour for two hours to relieve these symptoms. Holding a warm, moistened washcloth over the area where discomfort is felt or taking a warm bath may also help. Results for cystrometrograms and uroflowmetry are typically available immediately after the test, but results for the other tests may take a few days. When doctors have reviewed a patient's test results, he or she will discuss them with the patient, along with any treatments the patient may need.

In The News 

“Dr. Raymond Lance and Dr. Mark Fleming and the staff of Urology of Virginia and Virginia Oncology Associates treated us with kindness and compassion and we can't thank them enough.”—"John C. Maute", The Virginian-Pilot, January 2013

Noteworthy Medicare Patient Procedures Performed by Dr. Raymond S. Lance, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

biopsy
laser surgery
minimally invasive procedures
preventive care
screening PSA test

By Affordability:

bladder biopsy
cystoscopy with bladder biopsy
free PSA test
transperineal template-guided prostate mapping biopsy

In 2023, among providers in related specialties within Washington, Dr. Raymond S. Lance, MD performed more biopsy, laser surgery, minimally invasive procedures, preventive care, and screening PSA test procedures for Medicare patients than 95% of them and he also had a list price for bladder biopsy, cystoscopy with bladder biopsy, free PSA test, and transperineal template-guided prostate mapping biopsy that was lower than the list prices billed to Medicare by 95% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Volume:

antineoplastic hormone therapy

By Affordability:

dissection
lymphadenectomy
lymph node excision
lymph node procedures
surgical dissection

In 2023, among providers in related specialties within Washington, Dr. Raymond S. Lance, MD performed more antineoplastic hormone therapy procedures for Medicare patients than 90% of them and he also had a list price for dissection, lymphadenectomy (lymph node dissection), lymph node excision, lymph node procedures, and surgical dissection that was lower than the list prices billed to Medicare by 90% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Volume:

ablation
blood draw
cystoscopy
cystoscopy with bladder biopsy
cystoscopy with ureteral stent placement
minimally invasive prostate surgery
phlebotomy for lab tests
urologic procedures

By Affordability:

cystoscopic bladder stone removal without fragmentation
cystoscopic stone removal
cystoscopy with cryosurgery
cystoscopy with foreign body removal
cystoscopy with fulguration
cystoscopy with laser surgery
cystoscopy with ureteral stent removal
cystoscopy with urethral stone removal
hospital care
inpatient care
inpatient hospital care
laparoscopic lymphadenectomy
laparoscopic pelvic lymphadenectomy
laparoscopic prostate surgery
laparoscopic radical prostatectomy
laser prostate surgery
minimally invasive radical prostatectomy
pelvic lymphadenectomy
prostate ablation
prostate cancer surgery
prostate screening
radical prostatectomy
screening PSA test

In 2012, among providers in related specialties within Washington, Dr. Raymond S. Lance, MD performed more ablation, blood draw, cystoscopy, cystoscopy with bladder biopsy, cystoscopy with ureteral stent placement, minimally invasive prostate surgery, phlebotomy for lab tests, and urologic procedures procedures for Medicare patients than 75% of them and he also had a list price for cystoscopic bladder stone removal without fragmentation, cystoscopic stone removal, cystoscopy with cryosurgery, cystoscopy with foreign body removal, cystoscopy with fulguration, cystoscopy with laser surgery, cystoscopy with ureteral stent removal, cystoscopy with urethral stone removal, hospital care, inpatient care, inpatient hospital care (for patient admitted to hospital), laparoscopic lymphadenectomy, laparoscopic pelvic lymphadenectomy, laparoscopic prostate surgery, laparoscopic radical prostatectomy, laser prostate surgery, minimally invasive radical prostatectomy, pelvic lymphadenectomy, prostate ablation, prostate cancer surgery, prostate screening, radical prostatectomy, and screening PSA test that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Raymond S. Lance, MD treated as an urologist in Spokane, WA during 2012 were lab tests, blood draw, urologic procedures and minimally invasive procedures.

Volume of procedures performed by Dr. Raymond S. Lance, MD for Medicare patients.

ablation 30
anorectal procedures 35
biological response modifier (BRM) therapy 38
blood draw 594
cancer surgery 11
chemotherapy 38
cryotherapy 17
diagnostic procedures 78
doctor visit 1076
foreign body removal 11
hormone therapy 94
hospital care 29
injections 20
inpatient care 29
lab tests 2270
laser treatment 30
minimally invasive procedures 296
minor procedures 29
neurostimulation 20
rehabilitation 31
stent placement (stenting) 20
urologic procedures 519

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Raymond S. Lance, MD treated as an urologist in Spokane, WA during 2013 were lab tests, blood draw, urologic procedures and minimally invasive procedures.

Volume of procedures performed by Dr. Raymond S. Lance, MD for Medicare patients.

abdominal imaging 34
ablation 12
anorectal procedures 22
blood draw 746
cancer surgery 19
catheterization 25
cryotherapy 12
diagnostic procedures 52
doctor visit 1077
hormone therapy 157
hospital care 51
inpatient care 51
lab tests 2231
laser treatment 12
minimally invasive procedures 364
minor procedures 30
neurostimulation 91
rehabilitation 45
stent placement (stenting) 24
ultrasound (sonogram) 34
urologic procedures 481

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Raymond S. Lance, MD.

Gender
Male 741
Female 177
Ethnicity
Non-Hispanic White 663
Black 213
Hispanic 0
Asian 16
Other 15
Native American 0
Age
From 65 to 74 436
From 75 to 84 320
85 and over 85
Less than 65 77

Conditions of Medicare patients treated by Dr. Raymond S. Lance, MD in 2013

Hypertension 74
High Cholesterol 69
Stroke 5
Ischemic Heart Disease 36
Depression 14
Chronic Kidney Disease 37
Asthma 7
Osteoperosis 5
Atrial Fibrilation 12
Heart Failure 16
Chronic Obstructive Pulmonary Disease 16
Diabetes 33
Dementia 8
Cancer 52

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Raymond S. Lance, MD treated as an urologist in Spokane, WA during 2014 were lab tests, blood draw, urologic procedures and minimally invasive procedures.

Volume of procedures performed by Dr. Raymond S. Lance, MD for Medicare patients.

abdominal imaging 60
ablation 20
blood draw 730
cancer surgery 18
cryotherapy 20
diagnostic procedures 67
doctor visit 1241
hormone therapy 134
hospital care 75
inpatient care 75
lab tests 2514
laser treatment 20
minimally invasive procedures 298
minor procedures 39
neurostimulation 12
potassium test 14
stent placement (stenting) 22
ultrasound (sonogram) 60
urologic procedures 440

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Raymond S. Lance, MD.

Gender
Male 817
Female 155
Ethnicity
Non-Hispanic White 687
Black 230
Hispanic 0
Asian 18
Other 22
Native American 0
Age
From 65 to 74 488
From 75 to 84 312
85 and over 116
Less than 65 56

Conditions of Medicare patients treated by Dr. Raymond S. Lance, MD in 2014

Hypertension 75
High Cholesterol 69
Stroke 4
Ischemic Heart Disease 38
Depression 13
Chronic Kidney Disease 39
Asthma 6
Osteoperosis 5
Atrial Fibrilation 12
Heart Failure 16
Chronic Obstructive Pulmonary Disease 14
Diabetes 33
Dementia 8
Cancer 53

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Raymond S. Lance, MD treated as an urologist in Spokane, WA during 2015 were lab tests, urologic procedures, minimally invasive procedures and blood draw.

Volume of procedures performed by Dr. Raymond S. Lance, MD for Medicare patients.

ablation 19
blood draw 63
diagnostic procedures 15
doctor visit 572
hormone therapy 26
hospital care 36
inpatient care 36
lab tests 620
laser treatment 19
lithotripsy (stone fragmentation) 13
minimally invasive procedures 150
minor procedures 15
stent placement (stenting) 16
urologic procedures 453

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Raymond S. Lance, MD.

Gender
Male 418
Female 212
Ethnicity
Non-Hispanic White 568
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 240
From 75 to 84 214
85 and over 94
Less than 65 82

Conditions of Medicare patients treated by Dr. Raymond S. Lance, MD in 2015

Hypertension 64
High Cholesterol 47
Stroke 5
Ischemic Heart Disease 34
Depression 24
Chronic Kidney Disease 41
Asthma 13
Osteoperosis 8
Atrial Fibrilation 14
Heart Failure 20
Chronic Obstructive Pulmonary Disease 18
Diabetes 30
Dementia 13
Cancer 29

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Raymond S. Lance, MD treated as an urologist in Spokane, WA during 2016 were lab tests, urologic procedures, minimally invasive procedures and blood draw.

Volume of procedures performed by Dr. Raymond S. Lance, MD for Medicare patients.

ablation 27
blood draw 98
cancer surgery 11
diagnostic procedures 25
dissection 11
doctor visit 717
excision 11
hormone therapy 47
hospital care 23
inpatient care 23
lab tests 697
laser treatment 27
lymph node procedures 11
minimally invasive procedures 202
minor procedures 25
open surgery 11
pelvic surgery 11
stent placement (stenting) 25
urologic procedures 513

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Raymond S. Lance, MD.

Gender
Male 291
Female 113
Ethnicity
Non-Hispanic White 382
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 168
From 75 to 84 123
85 and over 48
Less than 65 65

Conditions of Medicare patients treated by Dr. Raymond S. Lance, MD in 2016

Hypertension 62
High Cholesterol 45
Stroke 6
Ischemic Heart Disease 32
Depression 19
Chronic Kidney Disease 43
Asthma 18
Osteoperosis 6
Atrial Fibrilation 14
Heart Failure 19
Chronic Obstructive Pulmonary Disease 15
Diabetes 26
Dementia 9
Cancer 34

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Raymond S. Lance, MD treated as an urologist in Spokane, WA during 2017 were lab tests, urologic procedures, minimally invasive procedures and blood draw.

Volume of procedures performed by Dr. Raymond S. Lance, MD for Medicare patients.

ablation 24
blood draw 90
cancer surgery 14
catheterization 36
diagnostic procedures 29
doctor visit 871
hormone therapy 60
hospital care 53
inpatient care 53
lab tests 632
laser treatment 24
minimally invasive procedures 215
minor procedures 29
stent placement (stenting) 35
suprapubic catheter replacement 34
urologic procedures 585

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Raymond S. Lance, MD.

Gender
Male 394
Female 113
Ethnicity
Non-Hispanic White 476
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 234
From 75 to 84 155
85 and over 55
Less than 65 63

Conditions of Medicare patients treated by Dr. Raymond S. Lance, MD in 2017

Hypertension 59
High Cholesterol 41
Stroke 5
Ischemic Heart Disease 27
Depression 21
Chronic Kidney Disease 41
Asthma 6
Osteoperosis 4
Atrial Fibrilation 13
Heart Failure 17
Chronic Obstructive Pulmonary Disease 13
Diabetes 25
Dementia 9
Cancer 36

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Raymond S. Lance, MD treated as an urologist in Spokane, WA during 2018 were lab tests, urologic procedures, minimally invasive procedures and blood draw.

Volume of procedures performed by Dr. Raymond S. Lance, MD for Medicare patients.

abdominal imaging 49
ablation 26
blood draw 197
cancer surgery 27
catheterization 24
diagnostic procedures 45
dissection 14
doctor visit 977
excision 14
hormone therapy 118
hospital care 64
inpatient care 64
lab tests 845
laser treatment 26
lymph node procedures 14
minimally invasive procedures 248
minor procedures 45
pelvic surgery 14
stent placement (stenting) 30
ultrasound (sonogram) 49
urologic procedures 463

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Raymond S. Lance, MD.

Gender
Male 525
Female 103
Ethnicity
Non-Hispanic White 594
Black 0
Hispanic 0
Asian 0
Other 16
Native American 0
Age
From 65 to 74 290
From 75 to 84 223
85 and over 63
Less than 65 52

Conditions of Medicare patients treated by Dr. Raymond S. Lance, MD in 2018

Hypertension 61
High Cholesterol 43
Stroke 4
Ischemic Heart Disease 26
Depression 16
Chronic Kidney Disease 37
Asthma 5
Osteoperosis 6
Atrial Fibrilation 13
Heart Failure 13
Chronic Obstructive Pulmonary Disease 13
Diabetes 26
Dementia 8
Cancer 47

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Raymond S. Lance, MD treated as an urologist in Spokane, WA during 2019 were lab tests, urologic procedures, blood draw and minimally invasive procedures.

Volume of procedures performed by Dr. Raymond S. Lance, MD for Medicare patients.

abdominal imaging 17
ablation 24
blood draw 253
cancer surgery 19
catheterization 42
cryotherapy 12
diagnostic procedures 61
dissection 16
doctor visit 1005
excision 16
hormone therapy 136
hospital care 31
inpatient care 31
lab tests 801
laser treatment 24
lymph node procedures 16
marker placement for prostate radiation therapy 21
minimally invasive procedures 249
minor procedures 30
pelvic surgery 16
potassium test 11
preventive care 25
stent placement (stenting) 35
ultrasound (sonogram) 17
urologic procedures 468

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Raymond S. Lance, MD.

Gender
Male 528
Female 76
Ethnicity
Non-Hispanic White 565
Black 0
Hispanic 0
Asian 0
Other 22
Native American 0
Age
From 65 to 74 304
From 75 to 84 193
85 and over 75
Less than 65 32

Conditions of Medicare patients treated by Dr. Raymond S. Lance, MD in 2019

Hypertension 62
High Cholesterol 48
Stroke 3
Ischemic Heart Disease 28
Depression 16
Chronic Kidney Disease 40
Asthma 5
Osteoperosis 4
Atrial Fibrilation 12
Heart Failure 16
Chronic Obstructive Pulmonary Disease 10
Diabetes 26
Dementia 7
Cancer 51

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Raymond S. Lance, MD treated as an urologist in Spokane, WA during 2020 were lab tests, urologic procedures, minimally invasive procedures and blood draw.

Volume of procedures performed by Dr. Raymond S. Lance, MD for Medicare patients.

blood draw 116
cancer surgery 29
diagnostic procedures 67
dissection 28
doctor visit 1202
excision 28
foreign body removal 13
hormone therapy 109
hospital care 23
inpatient care 23
lab tests 942
lymph node procedures 28
marker placement for prostate radiation therapy 23
minimally invasive procedures 268
minor procedures 37
pelvic surgery 28
preventive care 113
stent placement (stenting) 46
urologic procedures 408

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Raymond S. Lance, MD.

Gender
Male 626
Female 66
Ethnicity
Non-Hispanic White 647
Black 0
Hispanic 0
Asian 0
Other 22
Native American 0
Age
From 65 to 74 356
From 75 to 84 234
85 and over 69
Less than 65 33

Conditions of Medicare patients treated by Dr. Raymond S. Lance, MD in 2020

Hypertension 60
High Cholesterol 42
Stroke 2
Ischemic Heart Disease 27
Depression 13
Chronic Kidney Disease 35
Asthma 4
Osteoperosis 2
Atrial Fibrilation 9
Heart Failure 11
Chronic Obstructive Pulmonary Disease 10
Diabetes 25
Dementia 6
Cancer 57

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Raymond S. Lance, MD treated as an urologist in Spokane, WA during 2021 were lab tests, urologic procedures, minimally invasive procedures and hormone therapy.

Volume of procedures performed by Dr. Raymond S. Lance, MD for Medicare patients.

blood draw 54
cancer surgery 28
diagnostic procedures 82
dissection 25
doctor visit 1192
excision 25
hormone therapy 107
lab tests 463
lymph node procedures 25
marker placement for prostate radiation therapy 22
minimally invasive procedures 248
minor procedures 25
pelvic surgery 25
preventive care 47
stent placement (stenting) 35
urologic procedures 355

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Raymond S. Lance, MD.

Gender
Male 611
Female 47
Ethnicity
Non-Hispanic White 605
Black 0
Hispanic 0
Asian 0
Other 27
Native American 0
Age
From 65 to 74 325
From 75 to 84 230
85 and over 79
Less than 65 24

Conditions of Medicare patients treated by Dr. Raymond S. Lance, MD in 2021

Hypertension 59
High Cholesterol 50
Stroke 5
Ischemic Heart Disease 30
Depression 14
Chronic Kidney Disease 35
Asthma 5
Osteoperosis 3
Atrial Fibrilation 13
Heart Failure 14
Chronic Obstructive Pulmonary Disease 8
Diabetes 23
Dementia 8
Cancer 62

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Raymond S. Lance, MD treated as an urologist in Spokane, WA during 2022 were urologic procedures, lab tests, minimally invasive procedures and blood draw.

Volume of procedures performed by Dr. Raymond S. Lance, MD for Medicare patients.

blood draw 81
cancer surgery 12
diagnostic procedures 54
dissection 13
doctor visit 835
excision 13
hormone therapy 45
lab tests 313
lymph node procedures 13
marker placement for prostate radiation therapy 11
minimally invasive procedures 200
minor procedures 13
pelvic surgery 13
preventive care 52
stent placement (stenting) 30
urologic procedures 314

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Raymond S. Lance, MD.

Gender
Male 549
Female 55
Ethnicity
Non-Hispanic White 556
Black 0
Hispanic 0
Asian 0
Other 27
Native American 0
Age
From 65 to 74 281
From 75 to 84 241
85 and over 60
Less than 65 22

Conditions of Medicare patients treated by Dr. Raymond S. Lance, MD in 2022

Hypertension 68
High Cholesterol 67
Stroke 5
Ischemic Heart Disease 23
Depression 14
Chronic Kidney Disease 25
Asthma 8
Osteoperosis 6
Atrial Fibrilation 21
Heart Failure 13
Chronic Obstructive Pulmonary Disease 9
Diabetes 23
Dementia 4
Cancer 68

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Raymond S. Lance, MD for Medicare patients.

The highest averages for the top procedures that Dr. Raymond S. Lance, MD treated as an urologist in Spokane, WA were lab tests, urologic procedures, blood draw and minimally invasive procedures.

abdominal imaging 40
ablation 22
anorectal procedures 28
biological response modifier (BRM) therapy 38
blood draw 274
cancer surgery 18
catheterization 31
chemotherapy 38
cryotherapy 15
diagnostic procedures 52
dissection 17
doctor visit 978
excision 17
foreign body removal 12
hormone therapy 93
hospital care 42
injections 20
inpatient care 42
lab tests 1120
laser treatment 22
lithotripsy (stone fragmentation) 13
lymph node procedures 17
minimally invasive procedures 248
minor procedures 28
neurostimulation 41
open surgery 11
pelvic surgery 17
potassium test 12
preventive care 59
rehabilitation 38
stent placement (stenting) 28
ultrasound (sonogram) 40
urologic procedures 454

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Raymond S. Lance, MD.

Gender
Male 500
Female 101
Ethnicity
Black / African American 40
Asian / Pacific Islander 3
Non-Hispanic White 522
Native American / Alaskan Native 0
Hispanic 0
Other 13
Age
75 to 84 204
85 and over 67
Less than 65 46
65 to 74 283

Average of Total of Conditions of Medicare patients treated by Dr. Raymond S. Lance, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Raymond S. Lance, MD treated were hypertension, high cholesterol, cancer and chronic kidney disease.

Hypertension 58
High Cholesterol 47
Stroke 4
Ischemic Heart Disease 27
Depression 14
Chronic Kidney Disease 33
Asthma 7
Osteoporosis 4
Heart Failure 14
Chronic Obstructive Pulmonary Disease 11
Diabetes 24
Atrial Fibrillation 12
Dementia 7
Cancer 44

Education & Training

Dr. Raymond S. Lance, MD graduated from Uniformed Services University of the Health Sciences, F. Edward Hébert School of Medicine in 1991. He completed residency at Madigan Army Medical Center. He is certified by the American Board of Urology, Urology and has a state license in Virginia.

Medical School: Uniformed Services University of the Health Sciences, F. Edward Hébert School of Medicine (1991)

Residency: Madigan Army Medical Center (1995)

Board Certification: American Board of Urology, Urology

Licensed In: Virginia

Affiliations & Hospitals

Dr. Raymond S. Lance, MD is associated with these hospitals and organizations:

Providence
SPOKANE UROLOGY PLLC
Spokane Urology

Ratings & Reviews

Dr. Raymond S. Lance, MD has an exceptional overall rating with an average of 4.79 out of 5 stars based on 405 ratings. We collect ratings and reviews of Dr. Raymond S. Lance, MD from all over the web to help you find the right in Spokane, WA. 

4.79
Overall Rating
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General Payments

These charts describe general payments received by Dr. Raymond S. Lance, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

Payments by Company
Astellas Pharma US Inc $115,383 XTANDI
$102,671 		Myrbetriq
$217 		Vesicare
$133
$12,362
Janssen Biotech, Inc. $97,762 Erleada
$97,347 		ZYTIGA
$386 		AKEEGA
$30
Medivation Inc. $32,252 XTANDI
$32,252
Bayer HealthCare Pharmaceuticals Inc. $27,676 Nubeqa
$17,475 		Xofigo
$10,201
Pfizer Inc. $5,977 XTANDI
$5,919 		ORGOVYX
$32 		SUTENT
$26
Other $13,427 PROVENGE
$4,258 		ORGOVYX
$1,852 		Erleada
$1,060 		Da Vinci Surgical System
$950 		BOTOX
$211 		Other
$5,097
Types of Payments
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $218,252
Travel and Lodging $38,861
Consulting Fee $19,391
Food and Beverage $13,918
Education $1,106
Other $950

Research Payments

Dr. Raymond S. Lance, MD has received 390 research payments totaling $1,147,214.

Biography

Dr. Raymond Lance's area of specialization is urology (urinary tract disease). Dr. Lance obtained his medical school training at Uniformed Services University of the Health Sciences, F. Edward Hébert School of Medicine and performed his residency at Madigan Army Medical Center. His areas of expertise include bladder cancer, prostate abscess, and uterine prolapse. The average patient rating for Dr. Lance is 5.0 stars (out of 5). He is affiliated with Providence.

Urologists in Nearby Locations

Other Providers in Spokane, WA