Medicaid Provider Spending

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

UNIVERSITY PHYSICIANS INCORPORATED

NPI: 1922572833 · HIGHLANDS RANCH, CO 80129 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 01/14/2019

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

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

$1.18M
Total Medicaid Paid
16,852
Total Claims
15,618
Beneficiaries
21
Codes Billed
2019-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDONAHUE, LISA (ASSOCIATE COMPLIANCE OFFICER)
NPI Enumeration Date01/14/2019

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 COLORADO SPRINGS CO $2.18M
UNIVERSITY PHYSICIANS INCORPORATED AURORA CO $1.88M
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 446 $22K
2020 1,460 $83K
2021 3,987 $251K
2022 3,441 $222K
2023 4,590 $361K
2024 2,928 $244K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,456 3,297 $458K
99284 Emergency department visit for the evaluation and management, high severity 3,819 3,685 $352K
99283 Emergency department visit for the evaluation and management, moderate severity 3,491 3,444 $177K
99215 Prolong outpt/office vis 461 385 $57K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,498 2,972 $29K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 226 220 $27K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 449 436 $22K
88305 Level IV - Surgical pathology, gross and microscopic examination 347 332 $19K
70450 Computed tomography, head or brain; without contrast material 340 323 $14K
77014 250 133 $8K
59025 Fetal non-stress test 272 185 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 55 55 $4K
74177 Computed tomography, abdomen and pelvis; with contrast material 40 40 $3K
99233 Prolong inpt eval add15 m 31 14 $2K
77387 30 13 $2K
99238 Hospital discharge day management, 30 minutes or less 12 12 $687.48
92557 18 18 $488.82
99231 Subsequent hospital care, per day, straightforward or low complexity 14 12 $467.18
99282 Emergency department visit for the evaluation and management, low to moderate severity 12 12 $400.20
71045 Radiologic examination, chest; single view 16 16 $170.08
51798 15 14 $128.33