Physician
University Physicians Incorporated
University Physicians Incorporated was paid $7.84M by Medicaid between Jan 2018 and Sep 2024, across 51 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoUNIVERSITY PHYSICIANS INCORPORATED
COLORADO SPRINGS, CO 80920
COLORADO SPRINGS, CO 80920
33aNPI1376902460assigned 02/17/2016
33bProvider typeEmergency Medicine Physician
28Total paid$7.84M
24GClaims112,715
24DCodes billed51
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Colorado
Rank by total paid#8 of 115
Median peer was paid$100K
This provider vs. median79×
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 | |
|---|---|---|---|
| 2018 | 17,096 | $1.06M | |
| 2019 | 17,024 | $1.28M | |
| 2020 | 11,330 | $819K | |
| 2021 | 19,091 | $1.35M | |
| 2022 | 17,688 | $1.22M | |
| 2023 | 19,991 | $1.40M | |
| 2024incomplete | 10,495 | $717K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 27% | 24,420 | 23,937 | $2.13M |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 18% | 10,423 | 10,254 | $1.42M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 10,443 | 10,190 | $947K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.1% | 5,236 | 5,088 | $634K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 8.1% | 5,931 | 5,752 | $631K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.3% | 6,976 | 6,638 | $417K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 5.0% | 4,136 | 3,977 | $390K |
| 93325 | 2.8% | 7,725 | 7,163 | $221K | |
| 93320 | 1.9% | 4,129 | 3,967 | $151K | |
| 93000 | 1.5% | 5,641 | 5,553 | $114K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.2% | 542 | 541 | $95K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.0% | 13,004 | 10,263 | $79K |
39 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,202 | $71K |
| 95812 | <1% | 388 | $68K | |
| 99205 | Prolong outpt/office vis | <1% | 309 | $52K |
| 95720 | <1% | 232 | $50K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 381 | $45K |
| 94375 | <1% | 1,753 | $35K | |
| 94060 | <1% | 1,484 | $34K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 99 | $22K |
| 51741 | <1% | 1,507 | $21K | |
| 51798 | <1% | 1,560 | $21K | |
| 95951 | <1% | 115 | $21K | |
| 95819 | <1% | 838 | $20K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 458 | $16K |
| 95813 | <1% | 61 | $15K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 342 | $14K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 137 | $13K |
| 95251 | <1% | 570 | $11K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 53 | $9K |
| 93321 | <1% | 514 | $8K | |
| 95718 | <1% | 55 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 399 | $6K |
| 94010 | <1% | 189 | $6K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 62 | $5K |
| 99284 | Emergency room visit (serious) | <1% | 54 | $5K |
| 93308 | <1% | 103 | $5K | |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | <1% | 189 | $4K |
| 93304 | <1% | 60 | $4K | |
| L3984 | Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment | <1% | 13 | $4K |
| 54161 | <1% | 63 | $3K | |
| 95012 | <1% | 201 | $3K | |
| 95782 | <1% | 25 | $2K | |
| 64642 | <1% | 29 | $2K | |
| 31575 | <1% | 42 | $1K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 14 | $1K |
| 99283 | Emergency room visit (moderate) | <1% | 15 | $777.00 |
| 69210 | <1% | 13 | $267.25 | |
| 90686 | <1% | 278 | $53.91 | |
| 36416 | <1% | 233 | $3.24 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 0% | 69 | $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.