Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Shaker Heights › NPI 1720220098
Physician

University Primary Care Practices INC

University Primary Care Practices INC was paid $78.61M by Medicaid between Jan 2018 and Dec 2024, across 366 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.

33Billing provider infoUNIVERSITY PRIMARY CARE PRACTICES INC
SHAKER HEIGHTS, OH 44122
33aNPI1720220098assigned 04/01/2009
28Total paid$78.61M
24GClaims4,049,474
24DCodes billed366
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Ohio

Rank by total paid#1 of 739
Median peer was paid$30K
This provider vs. median2,651×

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.

Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
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
2018402,100$11.57M
2019411,394$12.44M
2020353,543$10.75M
2021719,891$12.93M
20221,165,883$12.45M
2023638,732$10.04M
2024incomplete357,931$8.44M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 36% 544,500 495,525 $28.20M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28% 566,890 514,788 $22.20M
90460 Immunization administration through 18 years of age via any route, first or only component 7.7% 292,781 170,945 $6.01M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.6% 50,300 48,491 $2.87M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.3% 53,409 51,389 $2.56M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.7% 37,269 36,482 $2.12M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.5% 38,694 36,466 $1.95M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.6% 19,627 19,188 $1.24M
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 1.6% 18,229 17,379 $1.23M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 42,921 16,344 $732K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 20,652 19,447 $712K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 11,362 9,894 $613K
354 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 16,675 $491K
99308 Subsequent nursing facility care, per day, straightforward <1% 43,984 $441K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 63,912 $370K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 25,329 $350K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 28,804 $331K
92551 <1% 51,903 $314K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 4,499 $193K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions <1% 11,303 $189K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 6,745 $184K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf <1% 1,377 $161K
99223 Prolong inpt eval add15 m <1% 3,219 $159K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 4,380 $151K
20610 <1% 5,041 $149K
93000 <1% 13,359 $148K
99244 Office or other outpatient consultation, moderate to high complexity <1% 2,039 $147K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 11,703 $146K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 1,513 $144K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 2,226 $136K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 187 $125K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 7,408 $121K
96127 <1% 28,496 $117K
97810 <1% 4,620 $98K
99239 Hospital discharge day management, more than 30 minutes <1% 3,325 $92K
00170 Anesthesia for intraoral procedures, including biopsy <1% 1,104 $89K
99222 Initial hospital care, per day, moderate complexity <1% 2,604 $89K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 9,170 $88K
90686 <1% 54,693 $78K
99205 Prolong outpt/office vis <1% 852 $78K
99173 <1% 31,644 $75K
80305 <1% 8,865 $73K
99238 Hospital discharge day management, 30 minutes or less <1% 3,300 $70K
99177 <1% 8,004 $67K
D1208 Topical application of fluoride, excluding varnish <1% 5,176 $67K
97811 <1% 4,514 $67K
90834 Psychotherapy session, about 45 minutes <1% 1,216 $66K
99188 <1% 3,477 $64K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 691 $62K
76830 Ultrasound, transvaginal <1% 902 $59K
31231 <1% 761 $59K
11721 <1% 5,601 $56K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 4,006 $54K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,626 $54K
95117 <1% 6,269 $53K
92557 <1% 1,806 $48K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 2,222 $44K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 4,954 $44K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 4,220 $42K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 640 $41K
0071A <1% 410 $39K
99221 <1% 1,575 $38K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 282 $37K
36415 Collection of venous blood by venipuncture <1% 22,757 $34K
90633 <1% 5,970 $33K
83036 Hemoglobin; glycosylated (A1C) <1% 7,523 $33K
99406 <1% 4,203 $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 <1% 207 $32K
80061 Lipid panel <1% 6,250 $31K
90832 Psychotherapy session, about 30 minutes <1% 1,037 $29K
93970 <1% 1,411 $29K
0072A <1% 298 $29K
84443 Thyroid stimulating hormone (TSH) <1% 4,975 $28K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 468 $27K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 184 $27K
81025 <1% 4,217 $26K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 427 $26K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 658 $26K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,881 $25K
98942 <1% 992 $25K
81002 <1% 10,653 $25K
D1206 Topical application of fluoride varnish <1% 2,070 $24K
92015 Determination of refractive state <1% 1,626 $23K
92567 <1% 2,157 $23K
11043 <1% 476 $23K
99174 <1% 2,912 $23K
99490 Ccm add 20min <1% 2,617 $22K
81003 <1% 13,733 $21K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 269 $20K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 7,759 $20K
92587 <1% 1,072 $20K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 134 $19K
99307 <1% 4,025 $18K
31575 <1% 327 $18K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 281 $17K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 203 $17K
82607 <1% 3,549 $17K
20526 <1% 464 $17K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 748 $16K
99245 <1% 231 $16K
99243 <1% 308 $16K
64615 <1% 225 $16K
90472 Immunization administration, each additional vaccine (list separately) <1% 901 $15K
20553 <1% 528 $15K
93971 <1% 1,025 $15K
99152 <1% 2,377 $15K
99310 Prolong nursin fac eval 15m <1% 706 $14K
90792 Psychiatric diagnostic evaluation with medical services <1% 219 $14K
83721 <1% 4,474 $14K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 695 $13K
95251 <1% 702 $13K
99305 <1% 747 $13K
85018 <1% 6,815 $13K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 1,187 $13K
80053 Comprehensive metabolic panel <1% 2,559 $13K
99497 <1% 476 $12K
93295 <1% 406 $12K
L1812 Knee orthosis, elastic with joints, prefabricated, off-the-shelf <1% 237 $12K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 359 $12K
99442 <1% 761 $11K
36416 <1% 4,130 $11K
93458 <1% 119 $11K
73610 <1% 1,508 $11K
90670 <1% 20,443 $11K
80048 Basic metabolic panel (calcium, ionized) <1% 4,984 $11K
73630 <1% 1,529 $11K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 57 $11K
93016 <1% 641 $10K
99381 <1% 215 $10K
76801 <1% 146 $10K
52000 <1% 193 $10K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 254 $9K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 551 $9K
90662 <1% 303 $8K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,905 $8K
72110 <1% 716 $8K
96161 <1% 3,123 $8K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 63 $8K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf <1% 196 $7K
64721 <1% 39 $7K
82962 <1% 5,192 $7K
99318 <1% 546 $7K
73110 <1% 940 $7K
73140 <1% 1,153 $7K
20611 <1% 154 $7K
93298 <1% 441 $7K
95811 <1% 114 $7K
93320 <1% 282 $6K
76882 <1% 344 $6K
99306 Prolong nursin fac eval 15m <1% 214 $6K
L1902 Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf <1% 147 $6K
90648 <1% 22,780 $6K
99235 <1% 82 $6K
93018 <1% 632 $6K
99304 <1% 460 $6K
93922 <1% 645 $6K
20552 <1% 198 $6K
59025 Fetal non-stress test <1% 205 $6K
99253 <1% 118 $6K
84460 <1% 3,987 $5K
84450 <1% 3,999 $5K
92552 <1% 376 $5K
51798 <1% 605 $5K
87905 <1% 483 $5K
99336 <1% 271 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 508 $4K
73130 <1% 564 $4K
90723 <1% 11,476 $4K
87808 <1% 391 $4K
90688 <1% 774 $4K
G0008 Administration of influenza virus vaccine <1% 776 $4K
90682 <1% 78 $4K
59430 <1% 40 $4K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit <1% 48 $4K
99254 <1% 53 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 338 $4K
95816 <1% 201 $4K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 596 $4K
90671 <1% 2,152 $4K
20550 <1% 147 $4K
82746 <1% 874 $4K
99401 <1% 241 $3K
69210 <1% 275 $3K
90677 <1% 2,000 $3K
73564 <1% 383 $3K
90651 <1% 4,273 $3K
99252 <1% 90 $3K
90656 <1% 3,274 $3K
99153 Mod sedat endo service >5yrs <1% 861 $3K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 17 $3K
94060 <1% 283 $3K
93224 <1% 38 $3K
87428 <1% 112 $3K
88307 <1% 49 $3K
99385 <1% 39 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 58 $3K
H1000 Prenatal care, at-risk assessment <1% 119 $3K
90680 <1% 8,425 $3K
73560 <1% 394 $3K
11720 <1% 767 $3K
73030 <1% 370 $3K
93325 <1% 282 $3K
62323 <1% 45 $2K
98929 <1% 84 $2K
99441 <1% 115 $2K
92550 <1% 263 $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 <1% 666 $2K
99220 <1% 44 $2K
99460 <1% 31 $2K
93880 <1% 137 $2K
25600 <1% 13 $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 <1% 31 $2K
0001A <1% 26 $2K
99335 <1% 155 $2K
L3809 Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type <1% 12 $2K
96160 <1% 725 $2K
90658 <1% 276 $2K
95886 <1% 53 $2K
88304 <1% 202 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 27 $2K
L3670 Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf <1% 24 $2K
99383 <1% 21 $2K
87807 <1% 140 $1K
90734 <1% 2,545 $1K
94729 <1% 431 $1K
90715 <1% 393 $1K
00731 <1% 32 $1K
87081 <1% 229 $1K
90698 <1% 1,336 $1K
20600 <1% 66 $1K
97035 <1% 268 $1K
95806 <1% 56 $1K
99348 <1% 87 $1K
99459 <1% 79 $1K
43235 <1% 12 $1K
76813 <1% 12 $1K
90674 <1% 53 $1K
72100 <1% 125 $1K
99382 <1% 17 $939.77
99384 <1% 12 $935.70
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 67 $928.34
98927 <1% 38 $922.95
93248 <1% 52 $922.48
H1001 Prenatal care, at-risk enhanced service; antepartum management <1% 73 $915.12
H1002 Prenatal care, at risk enhanced service; care coordination <1% 73 $915.12
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth <1% 15 $898.46
95115 <1% 127 $895.64
94726 <1% 248 $871.16
99219 <1% 31 $831.28
93294 <1% 55 $813.91
99234 <1% 12 $783.28
90480 <1% 26 $764.46
93015 <1% 13 $739.00
84153 <1% 202 $733.08
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 13 $713.72
99397 <1% 34 $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 <1% 721 $690.38
58300 <1% 14 $641.64
90673 <1% 13 $624.84
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 402 $612.72
93227 <1% 28 $573.91
29075 <1% 13 $571.78
91037 <1% 19 $552.52
93290 <1% 55 $509.35
91010 <1% 19 $505.72
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 26 $504.70
82044 <1% 214 $500.56
90474 <1% 54 $430.86
90700 <1% 1,798 $420.00
90837 Psychotherapy session, about an hour <1% 26 $409.95
99217 <1% 27 $395.01
88112 <1% 27 $392.40
80076 <1% 64 $389.86
99315 <1% 28 $387.08
81001 <1% 187 $386.94
99135 <1% 48 $386.40
94727 <1% 104 $366.09
51700 <1% 32 $335.08
90744 <1% 605 $331.50
99356 <1% 50 $325.33
90685 <1% 552 $321.50
90710 <1% 882 $315.75
90713 <1% 822 $310.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 245 $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 <1% 42 $289.68
88141 <1% 13 $288.64
85060 <1% 40 $280.72
73502 <1% 33 $275.48
93246 <1% 26 $271.18
58340 <1% 15 $269.36
85027 <1% 39 $250.67
94375 <1% 13 $244.08
99417 Prolong home eval add 15m <1% 12 $220.59
93280 <1% 13 $188.97
85610 <1% 772 $182.01
88342 <1% 13 $174.72
82465 <1% 194 $173.12
88312 <1% 18 $171.88
99375 <1% 12 $163.80
90672 <1% 228 $156.88
99402 <1% 17 $154.42
73080 <1% 29 $150.64
82043 <1% 74 $145.87
90696 <1% 324 $120.00
80050 General health panel <1% 72 $119.28
73590 <1% 17 $117.03
99443 <1% 139 $116.00
82948 <1% 50 $102.65
87210 <1% 29 $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) <1% 336 $99.85
99225 <1% 14 $94.72
99493 <1% 12 $91.80
51741 <1% 12 $77.73
J3490 Unclassified drugs <1% 91 $65.17
J1010 Injection, methylprednisolone acetate, 1 mg <1% 13 $62.36
88302 <1% 13 $55.24
1159F <1% 373,829 $50.09
86308 <1% 13 $45.80
82570 <1% 24 $40.53
90707 <1% 385 $40.00
90716 <1% 361 $30.00
90647 <1% 76 $30.00
90687 <1% 32 $30.00
3079F <1% 51,007 $25.03
3075F <1% 12,204 $25.01
3008F <1% 431,678 $25.00
90461 <1% 1,032 $21.00
91307 <1% 1,197 $10.49
90620 <1% 356 $10.00
94760 <1% 701 $9.66
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 179 $5.90
91300 <1% 100 $0.88
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 82 $0.14
J2357 Injection, omalizumab, 5 mg <1% 44 $0.13
91305 <1% 15 $0.13
3074F <1% 238,394 $0.04
3078F <1% 203,623 $0.03
3077F <1% 13,233 $0.01
1036F 0% 91,386 $0.00
3080F 0% 5,747 $0.00
3048F 0% 21,122 $0.00
3049F 0% 3,067 $0.00
1126F 0% 613 $0.00
99024 0% 1,079 $0.00
1170F 0% 308 $0.00
4010F 0% 380 $0.00
99000 0% 857 $0.00
1123F 0% 387 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 32 $0.00
3044F 0% 1,122 $0.00
1000F 0% 12 $0.00
1125F 0% 431 $0.00
1157F 0% 69 $0.00
90657 0% 13 $0.00
4274F 0% 84,925 $0.00
4004F 0% 3,250 $0.00
1124F 0% 2,026 $0.00
2028F 0% 342 $0.00
1160F 0% 876 $0.00
3046F 0% 168 $0.00
3050F 0% 2,237 $0.00
90681 0% 14 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 90 $0.00
1158F 0% 12 $0.00
L3260 Surgical boot/shoe, each 0% 25 $0.00
3051F 0% 12 $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 officialMEGERIAN, CLIFF (PRESIDENT OF UH PHYSICIAN SERVICES)
Same official

Other billing entities under MEGERIAN, CLIFF

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