Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UNIVERSITY PHYSICIANS INCORPORATED

NPI: 1346744083 · COLORADO SPRINGS, CO 80920 · Pediatrics Physician · NPI assigned 03/19/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DONAHUE, LISA controls 20+ related entities in our dataset. Read more

$2.18M
Total Medicaid Paid
47,275
Total Claims
43,970
Beneficiaries
74
Codes Billed
2019-08
First Month
2024-09
Last Month

Provider Details

Authorized OfficialDONAHUE, LISA (ASSOCIATE COMPLIANCE OFFICER)
NPI Enumeration Date03/19/2018

Related Entities

Other providers sharing the same authorized official: DONAHUE, LISA

ProviderCityStateTotal Paid
UNIVERSITY PHYSICIANS INCORPORATED AURORA CO $190.65M
UNIVERSITY PHYSICIANS INCORPORATED COLORADO SPRINGS CO $7.84M
UNIVERSITY PHYSICIANS INCORPORATED AURORA CO $6.66M
UNIVERSITY PHYSICIANS INCORPORATED AURORA CO $3.37M
UNIVERSITY PHYSICIANS INCORPORATED AURORA CO $2.54M
UNIVERSITY PHYSICIANS INCORPORATED AURORA CO $1.88M
UNIVERSITY PHYSICIANS INCORPORATED HIGHLANDS RANCH CO $1.18M
UNIVERSITY PHYSICIANS INCORPORATED AURORA CO $887K
UNIVERSITY PHYSICIANS INCORPORATED LOUISVILLE CO $584K
UNIVERSITY PHYSICIANS INCORPORATED DENVER CO $254K
UNIVERSITY PHYSICIANS INCORPORATED LITTLETON CO $235K
UNIVERSITY PHYSICIANS INCORPORATED AURORA CO $220K
UNIVERSITY PHYSICIANS INCORPORATED CENTENNIAL CO $185K
UNIVERSITY PHYSICIANS INCORPORATED BROOMFIELD CO $141K
UNIVERSITY PHYSICIANS INCORPORATED AURORA CO $137K
UNIVERSITY PHYSICIANS INCORPORATED AURORA CO $132K
UNIVERSITY PHYSICIANS INCORPORATED WESTMINSTER CO $128K
UNIVERSITY PHYSICIANS INCORPORATED DENVER CO $111K
UNIVERSITY PHYSICIANS, INCORPORATED ENGLEWOOD CO $88K
UNIVERSITY PHYSICIANS INCORPORATED AURORA CO $71K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,057 $83K
2020 4,442 $177K
2021 8,670 $321K
2022 8,463 $374K
2023 16,018 $814K
2024 7,625 $410K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 4,243 4,221 $410K
99215 Prolong outpt/office vis 1,623 1,454 $191K
99460 2,157 2,052 $176K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,161 1,145 $168K
99283 Emergency department visit for the evaluation and management, moderate severity 2,902 2,882 $156K
99238 Hospital discharge day management, 30 minutes or less 2,786 2,757 $155K
99239 Hospital discharge day management, more than 30 minutes 1,536 1,399 $118K
76770 2,882 2,862 $101K
71045 Radiologic examination, chest; single view 7,470 5,999 $79K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,114 1,079 $75K
99233 Prolong inpt eval add15 m 725 423 $56K
71046 Radiologic examination, chest; 2 views 3,237 3,178 $52K
99232 Subsequent hospital care, per day, moderate complexity 927 626 $51K
00170 Anesthesia for intraoral procedures, including biopsy 250 250 $48K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,791 1,750 $45K
74018 3,418 3,207 $38K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 265 264 $34K
93975 298 282 $29K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 243 235 $21K
74230 875 868 $20K
76700 Ultrasound, abdominal, real time with image documentation; complete 447 442 $17K
99417 Prolong home eval add 15m 183 168 $17K
99222 Initial hospital care, per day, moderate complexity 218 160 $14K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 183 168 $11K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 46 26 $11K
71275 Computed tomographic angiography, chest, with contrast material 163 163 $9K
99462 243 222 $9K
54150 131 128 $8K
73521 750 748 $6K
99219 74 73 $6K
71260 Computed tomography, thorax, diagnostic; with contrast material 87 81 $4K
77073 256 252 $3K
77072 380 380 $3K
72082 240 238 $3K
70551 Magnetic resonance imaging, brain; without contrast material 34 34 $3K
74021 99 98 $2K
72170 276 274 $2K
99218 45 45 $2K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 45 41 $2K
99221 28 27 $2K
73090 361 345 $2K
74240 79 79 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material 27 26 $2K
73630 368 334 $2K
73610 300 287 $2K
93976 44 43 $1K
99220 12 12 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $1K
73590 172 164 $1K
76506 33 30 $1K
73100 265 245 $1K
76830 Ultrasound, transvaginal 28 27 $869.03
99217 12 12 $638.66
73562 75 67 $484.66
76857 28 27 $482.83
72081 50 50 $472.28
76870 13 13 $430.43
73564 52 47 $400.16
73560 68 60 $387.81
73140 87 86 $385.00
76885 12 12 $345.18
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 12 12 $342.84
73620 87 59 $320.49
73080 40 40 $202.52
73522 17 17 $201.45
73070 50 48 $200.06
70360 29 29 $167.07
73552 13 12 $108.74
73110 15 15 $79.68
73130 16 15 $62.10
96167 473 460 $14.30
96158 65 59 $0.00
96156 504 500 $0.00
96168 25 25 $0.00