Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › SHAKER HEIGHTS › UNIVERSITY PRIMARY CARE PRACTICES INC

UNIVERSITY PRIMARY CARE PRACTICES INC

NPI: 1720220098 · SHAKER HEIGHTS, OH 44122 · Family Medicine Physician · NPI assigned 04/01/2009

$78.61M
Total Medicaid Paid
4,049,474
Total Claims
3,542,218
Beneficiaries
366
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMEGERIAN, CLIFF (PRESIDENT OF UH PHYSICIAN SERVICES)
NPI Enumeration Date04/01/2009

Related Entities

Other providers sharing the same authorized official: MEGERIAN, CLIFF

ProviderCityStateTotal Paid
UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH $107.65M
UNIVERSITY PRIMARY CARE PRACTICES INC NORTH OLMSTED OH $70K
UNIVERSITY PRIMARY CARE PRACTICES, INC. SOLON OH $48K
UNIVERSITY PRIMARY CARE PRACTICES INC. GARFIELD HEIGHTS OH $6K
UNIVERSITY PRIMARY CARE PRACTICES, INC. PARMA OH $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 402,100 $11.57M
2019 411,394 $12.44M
2020 353,543 $10.75M
2021 719,891 $12.93M
2022 1,165,883 $12.45M
2023 638,732 $10.04M
2024 357,931 $8.44M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 544,500 495,525 $28.20M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 566,890 514,788 $22.20M
90460 Immunization administration through 18 years of age via any route, first or only component 292,781 170,945 $6.01M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 50,300 48,491 $2.87M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 53,409 51,389 $2.56M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 37,269 36,482 $2.12M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 38,694 36,466 $1.95M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 19,627 19,188 $1.24M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 18,229 17,379 $1.23M
99232 Subsequent hospital care, per day, moderate complexity 42,921 16,344 $732K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 20,652 19,447 $712K
99215 Prolong outpt/office vis 11,362 9,894 $613K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16,675 14,508 $491K
99308 Subsequent nursing facility care, per day, straightforward 43,984 28,472 $441K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 63,912 53,348 $370K
99309 Subsequent nursing facility care, per day, low to moderate complexity 25,329 18,103 $350K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 28,804 27,110 $331K
92551 51,903 50,931 $314K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4,499 1,971 $193K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 11,303 7,177 $189K
99233 Prolong inpt eval add15 m 6,745 2,821 $184K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 1,377 1,292 $161K
99223 Prolong inpt eval add15 m 3,219 2,978 $159K
88305 Level IV - Surgical pathology, gross and microscopic examination 4,380 4,120 $151K
20610 5,041 4,095 $149K
93000 13,359 12,465 $148K
99244 Office or other outpatient consultation, moderate to high complexity 2,039 1,992 $147K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 11,703 6,942 $146K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,513 1,438 $144K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,226 2,152 $136K
J0585 Injection, onabotulinumtoxina, 1 unit 187 127 $125K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 7,408 7,012 $121K
96127 28,496 26,888 $117K
97810 4,620 2,549 $98K
99239 Hospital discharge day management, more than 30 minutes 3,325 3,061 $92K
00170 Anesthesia for intraoral procedures, including biopsy 1,104 635 $89K
99222 Initial hospital care, per day, moderate complexity 2,604 2,354 $89K
99231 Subsequent hospital care, per day, straightforward or low complexity 9,170 3,923 $88K
90686 54,693 52,620 $78K
99205 Prolong outpt/office vis 852 797 $78K
99173 31,644 31,046 $75K
80305 8,865 5,791 $73K
99238 Hospital discharge day management, 30 minutes or less 3,300 3,031 $70K
99177 8,004 7,699 $67K
D1208 Topical application of fluoride, excluding varnish 5,176 5,114 $67K
97811 4,514 2,495 $67K
90834 Psychotherapy, 45 minutes with patient 1,216 845 $66K
99188 3,477 3,221 $64K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 691 669 $62K
76830 Ultrasound, transvaginal 902 853 $59K
31231 761 685 $59K
11721 5,601 5,155 $56K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,006 3,218 $54K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,626 1,574 $54K
95117 6,269 3,484 $53K
92557 1,806 1,737 $48K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,222 904 $44K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,954 4,766 $44K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4,220 3,362 $42K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 640 590 $41K
0071A 410 377 $39K
99221 1,575 1,466 $38K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 282 274 $37K
36415 Collection of venous blood by venipuncture 22,757 19,959 $34K
90633 5,970 5,785 $33K
83036 Hemoglobin; glycosylated (A1C) 7,523 6,451 $33K
99406 4,203 3,514 $33K
L4360 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 207 204 $32K
80061 Lipid panel 6,250 5,142 $31K
90832 Psychotherapy, 30 minutes with patient 1,037 717 $29K
93970 1,411 1,315 $29K
0072A 298 298 $29K
84443 Thyroid stimulating hormone (TSH) 4,975 3,952 $28K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 468 430 $27K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 184 176 $27K
81025 4,217 3,994 $26K
95810 Polysomnography; sleep staging with 4 or more additional parameters 427 410 $26K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 658 618 $26K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,881 1,019 $25K
98942 992 726 $25K
81002 10,653 9,837 $25K
D1206 Topical application of fluoride varnish 2,070 2,039 $24K
92015 Determination of refractive state 1,626 1,538 $23K
92567 2,157 2,057 $23K
11043 476 230 $23K
99174 2,912 2,704 $23K
99490 Ccm add 20min 2,617 2,446 $22K
81003 13,733 12,706 $21K
J1050 Injection, medroxyprogesterone acetate, 1 mg 269 244 $20K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7,759 6,156 $20K
92587 1,072 982 $20K
45380 Colonoscopy, flexible; with biopsy, single or multiple 134 124 $19K
99307 4,025 3,123 $18K
31575 327 303 $18K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 281 269 $17K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 203 197 $17K
82607 3,549 2,811 $17K
20526 464 450 $17K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 748 535 $16K
99245 231 220 $16K
99243 308 305 $16K
64615 225 191 $16K
90472 Immunization administration, each additional vaccine (list separately) 901 872 $15K
20553 528 463 $15K
93971 1,025 967 $15K
99152 2,377 2,170 $15K
99310 Prolong nursin fac eval 15m 706 516 $14K
90792 Psychiatric diagnostic evaluation with medical services 219 208 $14K
83721 4,474 3,519 $14K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 695 604 $13K
95251 702 648 $13K
99305 747 615 $13K
85018 6,815 6,582 $13K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,187 510 $13K
80053 Comprehensive metabolic panel 2,559 2,163 $13K
99497 476 398 $12K
93295 406 371 $12K
L1812 Knee orthosis, elastic with joints, prefabricated, off-the-shelf 237 225 $12K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 359 344 $12K
99442 761 595 $11K
36416 4,130 3,880 $11K
93458 119 111 $11K
73610 1,508 1,314 $11K
90670 20,443 19,960 $11K
80048 Basic metabolic panel (calcium, ionized) 4,984 3,673 $11K
73630 1,529 1,342 $11K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 57 50 $11K
93016 641 606 $10K
99381 215 205 $10K
76801 146 144 $10K
52000 193 190 $10K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 254 245 $9K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 551 520 $9K
90662 303 263 $8K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,905 1,652 $8K
72110 716 691 $8K
96161 3,123 3,002 $8K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 63 38 $8K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 196 146 $7K
64721 39 37 $7K
82962 5,192 4,355 $7K
99318 546 477 $7K
73110 940 792 $7K
73140 1,153 933 $7K
20611 154 135 $7K
93298 441 395 $7K
95811 114 111 $7K
93320 282 274 $6K
76882 344 290 $6K
99306 Prolong nursin fac eval 15m 214 186 $6K
L1902 Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf 147 140 $6K
90648 22,780 22,005 $6K
99235 82 78 $6K
93018 632 603 $6K
99304 460 402 $6K
93922 645 607 $6K
20552 198 186 $6K
59025 Fetal non-stress test 205 137 $6K
99253 118 109 $6K
84460 3,987 2,974 $5K
84450 3,999 2,990 $5K
92552 376 357 $5K
51798 605 551 $5K
87905 483 463 $5K
99336 271 175 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 508 487 $4K
73130 564 473 $4K
90723 11,476 11,083 $4K
87808 391 378 $4K
90688 774 689 $4K
G0008 Administration of influenza virus vaccine 776 607 $4K
90682 78 77 $4K
59430 40 38 $4K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 48 43 $4K
99254 53 52 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 338 311 $4K
95816 201 185 $4K
J1030 Injection, methylprednisolone acetate, 40 mg 596 556 $4K
90671 2,152 1,931 $4K
20550 147 116 $4K
82746 874 685 $4K
99401 241 219 $3K
69210 275 241 $3K
90677 2,000 1,883 $3K
73564 383 325 $3K
90651 4,273 4,205 $3K
99252 90 85 $3K
90656 3,274 3,189 $3K
99153 Mod sedat endo service >5yrs 861 752 $3K
42820 Tonsillectomy and adenoidectomy; younger than age 12 17 13 $3K
94060 283 277 $3K
93224 38 36 $3K
87428 112 90 $3K
88307 49 48 $3K
99385 39 37 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 58 58 $3K
H1000 Prenatal care, at-risk assessment 119 118 $3K
90680 8,425 8,119 $3K
73560 394 299 $3K
11720 767 681 $3K
73030 370 328 $3K
93325 282 274 $3K
62323 45 44 $2K
98929 84 77 $2K
99441 115 102 $2K
92550 263 239 $2K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 666 542 $2K
99220 44 41 $2K
99460 31 27 $2K
93880 137 130 $2K
25600 13 12 $2K
L1810 Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 31 26 $2K
0001A 26 26 $2K
99335 155 113 $2K
L3809 Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type 12 12 $2K
96160 725 701 $2K
90658 276 265 $2K
95886 53 52 $2K
88304 202 196 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 27 24 $2K
L3670 Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf 24 24 $2K
99383 21 21 $2K
87807 140 132 $1K
90734 2,545 2,504 $1K
94729 431 422 $1K
90715 393 380 $1K
00731 32 29 $1K
87081 229 228 $1K
90698 1,336 1,291 $1K
20600 66 54 $1K
97035 268 105 $1K
95806 56 54 $1K
99348 87 81 $1K
99459 79 76 $1K
43235 12 12 $1K
76813 12 12 $1K
90674 53 50 $1K
72100 125 122 $1K
99382 17 16 $939.77
99384 12 12 $935.70
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 67 67 $928.34
98927 38 37 $922.95
93248 52 47 $922.48
H1001 Prenatal care, at-risk enhanced service; antepartum management 73 72 $915.12
H1002 Prenatal care, at risk enhanced service; care coordination 73 72 $915.12
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth 15 12 $898.46
95115 127 61 $895.64
94726 248 241 $871.16
99219 31 25 $831.28
93294 55 53 $813.91
99234 12 12 $783.28
90480 26 25 $764.46
93015 13 12 $739.00
84153 202 151 $733.08
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 13 13 $713.72
99397 34 28 $700.00
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 721 447 $690.38
58300 14 14 $641.64
90673 13 12 $624.84
J1885 Injection, ketorolac tromethamine, per 15 mg 402 309 $612.72
93227 28 27 $573.91
29075 13 12 $571.78
91037 19 14 $552.52
93290 55 50 $509.35
91010 19 13 $505.72
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 26 25 $504.70
82044 214 161 $500.56
90474 54 46 $430.86
90700 1,798 1,736 $420.00
90837 Psychotherapy, 53 minutes with patient 26 12 $409.95
99217 27 24 $395.01
88112 27 24 $392.40
80076 64 54 $389.86
99315 28 28 $387.08
81001 187 169 $386.94
99135 48 48 $386.40
94727 104 103 $366.09
51700 32 28 $335.08
90744 605 581 $331.50
99356 50 42 $325.33
90685 552 535 $321.50
90710 882 869 $315.75
90713 822 786 $310.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 245 180 $298.76
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 42 42 $289.68
88141 13 13 $288.64
85060 40 38 $280.72
73502 33 26 $275.48
93246 26 22 $271.18
58340 15 14 $269.36
85027 39 39 $250.67
94375 13 12 $244.08
99417 Prolong home eval add 15m 12 12 $220.59
93280 13 13 $188.97
85610 772 388 $182.01
88342 13 12 $174.72
82465 194 132 $173.12
88312 18 16 $171.88
99375 12 12 $163.80
90672 228 222 $156.88
99402 17 13 $154.42
73080 29 25 $150.64
82043 74 54 $145.87
90696 324 318 $120.00
80050 General health panel 72 70 $119.28
73590 17 12 $117.03
99443 139 66 $116.00
82948 50 47 $102.65
87210 29 26 $100.54
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 336 300 $99.85
99225 14 12 $94.72
99493 12 12 $91.80
51741 12 12 $77.73
J3490 Unclassified drugs 91 74 $65.17
J1010 Injection, methylprednisolone acetate, 1 mg 13 12 $62.36
88302 13 13 $55.24
1159F 373,829 341,016 $50.09
86308 13 13 $45.80
82570 24 21 $40.53
90707 385 376 $40.00
90716 361 351 $30.00
90647 76 65 $30.00
90687 32 29 $30.00
3079F 51,007 47,010 $25.03
3075F 12,204 11,171 $25.01
3008F 431,678 395,872 $25.00
90461 1,032 1,016 $21.00
91307 1,197 1,072 $10.49
90620 356 346 $10.00
94760 701 645 $9.66
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 179 170 $5.90
91300 100 91 $0.88
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 82 79 $0.14
J2357 Injection, omalizumab, 5 mg 44 39 $0.13
91305 15 14 $0.13
3074F 238,394 218,912 $0.04
3078F 203,623 187,055 $0.03
3077F 13,233 12,252 $0.01
1036F 91,386 80,929 $0.00
3080F 5,747 5,379 $0.00
3048F 21,122 18,676 $0.00
3049F 3,067 2,628 $0.00
1126F 613 558 $0.00
99024 1,079 937 $0.00
1170F 308 276 $0.00
4010F 380 351 $0.00
99000 857 743 $0.00
1123F 387 341 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 32 31 $0.00
3044F 1,122 992 $0.00
1000F 12 12 $0.00
1125F 431 401 $0.00
1157F 69 61 $0.00
90657 13 12 $0.00
4274F 84,925 77,515 $0.00
4004F 3,250 2,834 $0.00
1124F 2,026 1,758 $0.00
2028F 342 320 $0.00
1160F 876 742 $0.00
3046F 168 159 $0.00
3050F 2,237 1,896 $0.00
90681 14 13 $0.00
G0444 Annual depression screening, 5 to 15 minutes 90 76 $0.00
1158F 12 12 $0.00
L3260 Surgical boot/shoe, each 25 25 $0.00
3051F 12 12 $0.00