25 Statistics About the Urology Market

Vertical: Urology
Author: JC Lupis
Date: October 2020

Download the stats in PDF format here.

Practice Settings

1. More than one-quarter (28%) of urologists working in private practice are in large groups with 5 or more locations.

2. The percentage of private practice urologists working in large groups with at least 10 providers has more than doubled from 15.4% in 2015 to 31.6% in 2019.

3. About one-fifth (22%) of practicing urologists work in practices that have more than 15 providers.

4. From 2014 to 2019, the share of urologists working in an institutional setting (such as an academic medical center or hospital) increased from 33.9% to 46.1%.

5. Of urologists who work in a private setting, a majority (56.1%) do so in a single-specialty group.

Source: American Urological Association

Provider Landscape

6. There were 13,044 urology providers working in the US in 2019.

7. The number of practicing urologists per 100,000 population increased from 3.70 in 2015 to 3.99 in 2019.

8. The median age of practicing urologists is 55.

9. More than two-thirds of practicing urologists plan to retire by the age of 70.

10. The shortage of urologists is estimated to exceed 3,600 physicians by 2025.

Sources: American Urological Association, U.S. Department of Health and Human Services

Demand and Services Profile

11. Four in 10 practicing urologists have a primary subspecialty, with the most common being oncology and pediatrics.

12. The US’ aging population portends an increase in demand for urological services. For example, the risk of bladder cancer increases by 16x between the ages 40 to 80.

13. Urology ASCs comprised only 3.8% of single-specialty ASCs in 2018 (127 of 3,277).

14. Of the top 20 most-performed ASC services in 2018, only 1 was a urology service (cystoscopy; #17).

15. Urology ASC cases yielded $2,400 per case in 2017, which was fourth among all specialties, behind only orthopedics, otolaryngology, and podiatry.

Sources: American Urological Association, National Urology Research Agenda, Medicare Payment Advisory Commission, VMG Health MultiSpecialty ASC Intellimarker

Providers’ Challenges

16. Virtually all surveyed urologists (98%) are concerned about declining reimbursements.

17. 87% of urologists agree that they used to enjoy being a physician more, but the profession has become less lucrative and more stressful.

18. While urologists rank in the top quartile of specialties for compensation, only 49% feel that they are fairly compensated.

19. Urologists report spending an average of 15.1 hours per week on paperwork and administrative tasks.

20. Anecdotal evidence suggests that urologists were working at about 30-40% of capacity during the early days of the pandemic. By the first week of October, however, outpatient urology visits were up by 8% from baseline figures established for the first week of March.

Sources: Urology Times, Medscape, The Commonwealth Fund

Private Equity and Consolidation Trends

21. There are 4 private equity-backed urology platforms in the US. Their sponsors are:

  • Audax Private Equity – United Urology Group
  • Prospect Hill Growth Partners – Urology Management Associates (New Jersey Urology)
  • NMS Capital – US Urology Partners
  • Lee Equity Partners – Solaris Health

22. United Urology Group is the largest network of urology affiliates, with more than 200 providers across 87 offices and ASCs.

23. United Urology Group has announced partnerships with 8 practices since its formation in 2016.

24. There has been 1 private equity-backed urology transaction in 2020, with Lee Equity Partners acquiring and merging Integrated Medical Professionals and The Urology Group to form Solaris Health.

25.There were 3 private equity-backed urology platform add-ons in 2019: New Jersey Urology announced 2 partnerships; and United Urology Group announced 1.

Sources: GHA Research, United Urology Group, GHA M&A Database

Download the stats in PDF format here.

For more information, please contact GHA Managing Director JC Lupis at jclupis@ghadvisors.net.