Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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University Physicians Incorporated

University Physicians Incorporated was paid $6.66M by Medicaid between Feb 2021 and Dec 2024, across 26 billing codes. Its largest line is G0483, Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed — 84% of everything it billed.

33Billing provider infoUNIVERSITY PHYSICIANS INCORPORATED
AURORA, CO 80045
33aNPI1598048449assigned 09/27/2011
28Total paid$6.66M
24GClaims84,343
24DCodes billed26
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Colorado

Rank by total paid#8 of 91
Median peer was paid$53K
This provider vs. median125×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
202127,662$1.34M
202223,424$1.94M
202321,997$1.98M
2024incomplete11,260$1.41M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 84% 28,598 17,052 $5.57M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 12% 33,003 19,451 $822K
82570 <1% 9,222 5,417 $46K
80323 <1% 2,739 1,665 $46K
80358 <1% 2,103 1,543 $35K
80329 <1% 1,431 1,002 $24K
80349 <1% 1,094 794 $18K
80324 <1% 903 658 $15K
80355 <1% 711 443 $12K
80332 <1% 568 303 $10K
80353 <1% 495 378 $8K
80338 <1% 458 244 $8K
14 more codes
80375 <1% 449 $7K
80354 <1% 410 $7K
80348 <1% 342 $6K
80321 <1% 349 $6K
80361 <1% 330 $5K
80346 <1% 246 $4K
80342 <1% 156 $3K
80356 <1% 157 $3K
80369 <1% 145 $2K
80362 <1% 125 $2K
80339 <1% 111 $2K
80365 <1% 86 $1K
80176 <1% 71 $990.97
80335 <1% 41 $649.04

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 (ASSOCATE COMPLIANCE OFFICER)
Same official

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.