Physician
University Physicians Incorporated
University Physicians Incorporated was paid $2.18M by Medicaid between Aug 2019 and Sep 2024, across 74 billing codes. Its largest line is 99284, emergency room visit (serious) — 19% of everything it billed.
33Billing provider infoUNIVERSITY PHYSICIANS INCORPORATED
COLORADO SPRINGS, CO 80920
COLORADO SPRINGS, CO 80920
33aNPI1346744083assigned 03/19/2018
33bProvider typePediatrics Physician
28Total paid$2.18M
24GClaims47,275
24DCodes billed74
24AFirst – last monthAug 2019 – Sep 2024
Compared with peers
Next to other Pediatrics Physician providers in Colorado
Rank by total paid#19 of 186
Median peer was paid$68K
This provider vs. median32×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official DONAHUE, LISA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 2,057 | $83K | |
| 2020 | 4,442 | $177K | |
| 2021 | 8,670 | $321K | |
| 2022 | 8,463 | $374K | |
| 2023 | 16,018 | $814K | |
| 2024incomplete | 7,625 | $410K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 19% | 4,243 | 4,221 | $410K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.8% | 1,623 | 1,454 | $191K |
| 99460 | 8.1% | 2,157 | 2,052 | $176K | |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 7.7% | 1,161 | 1,145 | $168K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 7.1% | 2,902 | 2,882 | $156K |
| 99238 | Hospital discharge day management, 30 minutes or less | 7.1% | 2,786 | 2,757 | $155K |
| 99239 | Hospital discharge day management, more than 30 minutes | 5.4% | 1,536 | 1,399 | $118K |
| 76770 | 4.6% | 2,882 | 2,862 | $101K | |
| 71045 | Radiologic examination, chest; single view | 3.6% | 7,470 | 5,999 | $79K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 3.4% | 1,114 | 1,079 | $75K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.6% | 725 | 423 | $56K |
| 71046 | Radiologic examination, chest; 2 views | 2.4% | 3,237 | 3,178 | $52K |
62 more codes
| 99232 | Hospital visit by a doctor, follow-up day | 2.3% | 927 | $51K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 2.2% | 250 | $48K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 2.1% | 1,791 | $45K |
| 74018 | 1.7% | 3,418 | $38K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.6% | 265 | $34K |
| 93975 | 1.3% | 298 | $29K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 243 | $21K |
| 74230 | <1% | 875 | $20K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 447 | $17K |
| 99417 | Prolong home eval add 15m | <1% | 183 | $17K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 218 | $14K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 183 | $11K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 46 | $11K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 163 | $9K |
| 99462 | <1% | 243 | $9K | |
| 54150 | <1% | 131 | $8K | |
| 73521 | <1% | 750 | $6K | |
| 99219 | <1% | 74 | $6K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 87 | $4K |
| 77073 | <1% | 256 | $3K | |
| 77072 | <1% | 380 | $3K | |
| 72082 | <1% | 240 | $3K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 34 | $3K |
| 74021 | <1% | 99 | $2K | |
| 72170 | <1% | 276 | $2K | |
| 99218 | <1% | 45 | $2K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 45 | $2K |
| 99221 | <1% | 28 | $2K | |
| 73090 | <1% | 361 | $2K | |
| 74240 | <1% | 79 | $2K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 27 | $2K |
| 73630 | <1% | 368 | $2K | |
| 73610 | <1% | 300 | $2K | |
| 93976 | <1% | 44 | $1K | |
| 99220 | <1% | 12 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $1K |
| 73590 | <1% | 172 | $1K | |
| 76506 | <1% | 33 | $1K | |
| 73100 | <1% | 265 | $1K | |
| 76830 | Ultrasound, transvaginal | <1% | 28 | $869.03 |
| 99217 | <1% | 12 | $638.66 | |
| 73562 | <1% | 75 | $484.66 | |
| 76857 | <1% | 28 | $482.83 | |
| 72081 | <1% | 50 | $472.28 | |
| 76870 | <1% | 13 | $430.43 | |
| 73564 | <1% | 52 | $400.16 | |
| 73560 | <1% | 68 | $387.81 | |
| 73140 | <1% | 87 | $385.00 | |
| 76885 | <1% | 12 | $345.18 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 12 | $342.84 |
| 73620 | <1% | 87 | $320.49 | |
| 73080 | <1% | 40 | $202.52 | |
| 73522 | <1% | 17 | $201.45 | |
| 73070 | <1% | 50 | $200.06 | |
| 70360 | <1% | 29 | $167.07 | |
| 73552 | <1% | 13 | $108.74 | |
| 73110 | <1% | 15 | $79.68 | |
| 73130 | <1% | 16 | $62.10 | |
| 96167 | <1% | 473 | $14.30 | |
| 96158 | 0% | 65 | $0.00 | |
| 96156 | 0% | 504 | $0.00 | |
| 96168 | 0% | 25 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialDONAHUE, LISA (ASSOCIATE COMPLIANCE OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.