Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

University Physicians Incorporated

University Physicians Incorporated was paid $190.65M by Medicaid between Jan 2018 and Dec 2024, across 421 billing codes. Its largest line is 99284, emergency room visit (serious) — 13% of everything it billed.

33Billing provider infoUNIVERSITY PHYSICIANS INCORPORATED
AURORA, CO 80045
33aNPI1962461889assigned 03/20/2006
33bProvider typeAnesthesiology Physician
28Total paid$190.65M
24GClaims3,200,864
24DCodes billed421
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Anesthesiology Physician providers in Colorado

Rank by total paid#1 of 36
Median peer was paid$48K
This provider vs. median3,942×

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$2.0M$4.0M2018201920202021202220232024
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
2018447,573$25.35M
2019441,266$25.06M
2020370,403$19.70M
2021493,313$28.48M
2022490,651$29.47M
2023544,314$35.41M
2024incomplete413,344$27.19M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 13% 256,417 244,484 $24.11M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 11% 166,496 155,648 $21.07M
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 10% 228,244 217,252 $19.59M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 8.7% 150,525 137,566 $16.61M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 5.0% 188,158 179,595 $9.55M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.7% 150,005 141,983 $8.98M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.6% 99,025 38,242 $6.86M
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 3.5% 48,965 47,271 $6.67M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 3.0% 14,555 4,449 $5.69M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.9% 60,347 58,317 $5.54M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2.7% 28,700 11,112 $5.13M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.1% 84,736 38,212 $4.00M
409 more codes
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.3% 47,837 $2.57M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.2% 293,239 $2.31M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.2% 25,508 $2.21M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.1% 24,586 $2.19M
74177 Computed tomography, abdomen and pelvis; with contrast material 1.1% 36,712 $2.15M
71045 Radiologic examination, chest; single view 1.0% 208,445 $1.99M
99205 Prolong outpt/office vis <1% 10,860 $1.81M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 26,335 $1.80M
70450 Computed tomography, head or brain; without contrast material <1% 46,874 $1.63M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger <1% 4,414 $1.56M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 16,905 $1.53M
71046 Radiologic examination, chest; 2 views <1% 103,567 $1.48M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 18,018 $1.48M
99480 Subsequent intensive care, per day, low birth weight infant <1% 13,519 $1.46M
70551 Magnetic resonance imaging, brain; without contrast material <1% 19,511 $1.33M
99220 <1% 11,460 $1.15M
99223 Prolong inpt eval add15 m <1% 8,645 $1.05M
99479 Subsequent intensive care, per day, very low birth weight infant <1% 9,370 $1.02M
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 7,492 $899K
95720 <1% 4,014 $883K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 8,962 $844K
93320 <1% 28,952 $785K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 7,875 $714K
74018 <1% 64,526 $674K
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 <1% 3,234 $664K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 49,988 $651K
00170 Anesthesia for intraoral procedures, including biopsy <1% 2,186 $597K
99238 Hospital discharge day management, 30 minutes or less <1% 11,740 $588K
95951 <1% 2,944 $573K
99460 <1% 8,870 $568K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 8,261 $496K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 4,552 $484K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 13,649 $483K
99239 Hospital discharge day management, more than 30 minutes <1% 5,676 $442K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 13,055 $438K
01922 <1% 1,301 $434K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 11,365 $425K
76770 <1% 11,605 $395K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 15,267 $385K
67028 Intravitreal injection of a pharmacologic agent <1% 3,985 $379K
71275 Computed tomographic angiography, chest, with contrast material <1% 7,987 $372K
59025 Fetal non-stress test <1% 13,055 $367K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 4,159 $367K
77014 <1% 13,630 $366K
93975 <1% 3,032 $349K
64615 <1% 4,201 $348K
93976 <1% 7,510 $307K
70496 <1% 4,319 $299K
99417 Prolong home eval add 15m <1% 3,477 $289K
93325 <1% 38,674 $286K
H1005 Prenatal care, at-risk enhanced service package (includes h1001-h1004) <1% 702 $283K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 6,144 $279K
94375 <1% 19,747 $268K
99222 Initial hospital care, per day, moderate complexity <1% 2,793 $254K
95782 <1% 2,276 $241K
90935 Hemodialysis procedure with single evaluation by a physician <1% 6,229 $229K
70498 <1% 3,198 $220K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 18,239 $193K
76830 Ultrasound, transvaginal <1% 6,472 $189K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 1,041 $187K
90834 Psychotherapy session, about 45 minutes <1% 2,756 $184K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 899 $183K
92134 <1% 11,027 $168K
71250 <1% 4,842 $151K
20610 <1% 3,596 $149K
00142 <1% 1,378 $148K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 2,919 $147K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 4,209 $145K
77067 Screening mammography, bilateral, including computer-aided detection <1% 4,322 $139K
90837 Psychotherapy session, about an hour <1% 1,518 $127K
78815 Positron emission tomography (PET) for limited area imaging <1% 1,652 $123K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 3,971 $120K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 2,800 $120K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 2,212 $115K
31231 <1% 2,008 $112K
76857 <1% 6,781 $110K
93970 <1% 1,950 $109K
31622 <1% 724 $105K
72125 Computed tomography, cervical spine; without contrast material <1% 2,720 $103K
31579 <1% 762 $103K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 1,690 $101K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 997 $101K
92060 <1% 2,446 $95K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 3,083 $89K
95812 <1% 500 $82K
73610 <1% 15,995 $80K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 591 $80K
93971 <1% 6,128 $79K
62370 <1% 927 $79K
73630 <1% 17,707 $79K
94729 <1% 5,614 $77K
94726 <1% 4,595 $77K
74021 <1% 3,372 $77K
99217 <1% 1,545 $76K
76642 <1% 3,065 $76K
94060 <1% 6,237 $74K
49452 <1% 153 $73K
93227 <1% 2,655 $70K
99468 <1% 100 $69K
73562 <1% 11,572 $67K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 2,388 $65K
51741 <1% 3,148 $60K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 309 $57K
99152 <1% 3,254 $56K
94621 <1% 1,468 $56K
99384 <1% 448 $54K
96116 <1% 649 $53K
90832 Psychotherapy session, about 30 minutes <1% 1,215 $52K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,415 $48K
92133 <1% 2,922 $47K
73130 <1% 9,975 $46K
88307 <1% 871 $45K
73030 <1% 8,007 $45K
92083 <1% 2,792 $44K
74230 <1% 1,929 $44K
00731 <1% 488 $44K
95718 <1% 306 $43K
73110 <1% 8,112 $43K
95806 <1% 691 $42K
D0145 Oral evaluation for a patient under three years of age <1% 1,402 $42K
43762 <1% 350 $42K
90961 <1% 622 $42K
95076 <1% 439 $41K
77427 <1% 346 $40K
64483 <1% 292 $40K
99219 <1% 460 $40K
17311 <1% 172 $39K
76825 <1% 649 $37K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,225 $37K
31526 <1% 429 $35K
72082 <1% 2,783 $34K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 1,277 $34K
99381 <1% 376 $33K
73090 <1% 6,045 $32K
G9002 Coordinated care fee, maintenance rate <1% 185 $31K
96040 <1% 4,845 $30K
64642 <1% 335 $30K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 425 $30K
99292 <1% 258 $30K
73590 <1% 4,777 $30K
95991 <1% 481 $30K
73521 <1% 3,330 $29K
77066 Tomosynthesis, mammo <1% 759 $28K
99471 <1% 44 $28K
77073 <1% 2,370 $26K
72170 <1% 3,177 $25K
95079 <1% 199 $24K
95957 <1% 436 $24K
64400 <1% 193 $24K
95819 <1% 567 $24K
93228 <1% 1,211 $23K
90791 Psychiatric diagnostic evaluation <1% 267 $23K
74019 <1% 1,383 $23K
11721 <1% 2,143 $23K
11900 <1% 1,118 $22K
88108 <1% 915 $22K
72100 <1% 2,901 $22K
99354 <1% 434 $22K
77072 <1% 2,984 $21K
54150 <1% 647 $20K
15004 <1% 82 $20K
93308 <1% 767 $20K
76376 <1% 2,378 $20K
93314 <1% 437 $20K
76536 <1% 903 $20K
93321 <1% 2,526 $19K
76821 <1% 405 $19K
99221 <1% 274 $18K
73502 <1% 2,663 $18K
70360 <1% 3,339 $18K
54161 <1% 185 $18K
92015 Determination of refractive state <1% 12,364 $18K
96156 <1% 1,797 $18K
D1206 Topical application of fluoride varnish <1% 1,075 $17K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 601 $17K
76377 <1% 523 $17K
76827 <1% 648 $17K
70486 <1% 414 $17K
99418 Prolong nursin fac eval 15m <1% 277 $16K
69210 <1% 1,032 $16K
95251 <1% 832 $16K
73140 <1% 3,509 $16K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 507 $16K
46607 <1% 118 $15K
76942 <1% 662 $14K
99383 <1% 133 $14K
64405 <1% 826 $14K
93356 <1% 425 $14K
95886 <1% 280 $14K
20553 <1% 770 $14K
31575 <1% 426 $14K
95811 <1% 152 $14K
31624 <1% 39 $13K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 300 $13K
73100 <1% 3,215 $13K
75561 <1% 110 $13K
00811 <1% 115 $13K
64643 <1% 153 $12K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) <1% 1,270 $12K
96133 <1% 79 $12K
99462 <1% 308 $12K
73080 <1% 2,130 $11K
84165 <1% 3,408 $11K
77065 Tomosynthesis, mammo <1% 474 $11K
76820 <1% 395 $11K
99201 <1% 290 $10K
76819 Fetal biophysical profile; without non-stress testing <1% 237 $10K
76506 <1% 302 $10K
76801 <1% 256 $10K
88342 <1% 582 $9K
77080 <1% 169 $9K
72141 <1% 121 $9K
74240 <1% 326 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 86 $8K
76813 <1% 161 $8K
90792 Psychiatric diagnostic evaluation with medical services <1% 87 $8K
H0002 Behavioral health screening to determine eligibility for admission to treatment program <1% 584 $8K
93018 <1% 747 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 579 $8K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 29 $8K
99475 <1% 12 $8K
86077 <1% 248 $8K
74183 <1% 125 $8K
92504 <1% 534 $8K
93304 <1% 189 $7K
00140 <1% 65 $7K
96167 <1% 1,125 $7K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 134 $7K
96127 <1% 352 $7K
99476 <1% 24 $7K
99382 <1% 69 $7K
90966 <1% 154 $7K
99356 <1% 160 $7K
93294 <1% 257 $7K
93312 <1% 123 $7K
75574 <1% 40 $6K
17110 <1% 251 $6K
88313 <1% 337 $6K
75573 <1% 65 $6K
86334 <1% 1,525 $6K
90847 Family psychotherapy with the patient present, 50 minutes <1% 98 $6K
43760 <1% 153 $5K
92235 <1% 130 $5K
90853 Group psychotherapy (other than of a multiple-family group) <1% 321 $5K
73564 <1% 730 $5K
72081 <1% 528 $5K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 25 $5K
73070 <1% 1,135 $5K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 26 $5K
49083 <1% 19 $5K
70544 <1% 80 $5K
00920 <1% 29 $4K
80323 <1% 241 $4K
96112 <1% 43 $4K
64418 <1% 118 $4K
70491 <1% 73 $4K
00635 <1% 13 $4K
82570 <1% 737 $4K
95913 <1% 15 $4K
73560 <1% 774 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 260 $4K
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% 2,885 $4K
76775 <1% 156 $4K
94010 <1% 544 $4K
76885 <1% 116 $4K
77334 <1% 46 $4K
73552 <1% 505 $3K
85390 <1% 333 $3K
95813 <1% 17 $3K
74160 <1% 86 $3K
80358 <1% 180 $3K
99218 <1% 57 $3K
93790 <1% 254 $3K
99236 Prolong inpt eval add15 m <1% 23 $3K
15002 <1% 17 $3K
77387 <1% 172 $3K
92250 <1% 151 $3K
72040 <1% 464 $3K
95816 <1% 85 $3K
72146 <1% 36 $3K
78306 <1% 104 $3K
76870 <1% 93 $3K
96132 <1% 28 $3K
90945 <1% 73 $3K
15100 <1% 15 $3K
92020 <1% 185 $2K
64450 <1% 313 $2K
80349 <1% 134 $2K
80329 <1% 135 $2K
91200 <1% 247 $2K
77263 <1% 19 $2K
01810 <1% 12 $2K
75565 <1% 138 $2K
20611 <1% 36 $2K
93000 <1% 93 $2K
88173 <1% 70 $2K
70543 <1% 24 $2K
93295 <1% 72 $2K
76937 <1% 226 $2K
80324 <1% 90 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 41 $2K
95874 <1% 102 $2K
90674 <1% 83 $2K
92511 <1% 14 $2K
88291 <1% 57 $2K
76881 <1% 35 $2K
97802 <1% 25 $1K
95873 <1% 38 $1K
74220 <1% 102 $1K
76826 <1% 63 $1K
92540 <1% 75 $1K
90686 <1% 162 $1K
96111 <1% 13 $1K
96136 <1% 24 $1K
D0190 <1% 286 $1K
91299 <1% 61 $1K
88141 <1% 93 $1K
92025 <1% 45 $1K
93272 <1% 52 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 120 $1K
93568 <1% 17 $1K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 204 $1K
99441 <1% 114 $1K
93750 <1% 49 $1K
76828 <1% 47 $1K
92136 <1% 117 $1K
96158 <1% 270 $1K
52000 <1% 35 $969.37
80353 <1% 54 $968.22
88304 <1% 90 $968.16
74022 <1% 125 $964.83
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing <1% 64 $961.98
88112 <1% 26 $876.76
16020 <1% 29 $873.58
73620 <1% 169 $872.11
11102 <1% 26 $869.69
92002 <1% 15 $858.10
42830 <1% 12 $854.72
99451 <1% 25 $800.48
50200 <1% 15 $772.72
H0049 Alcohol and/or drug screening <1% 96 $770.15
36415 Collection of venous blood by venipuncture <1% 294 $767.60
J3490 Unclassified drugs <1% 137 $757.57
83036 Hemoglobin; glycosylated (A1C) <1% 90 $754.74
73700 <1% 16 $693.81
73000 <1% 116 $652.98
78315 <1% 28 $622.76
80361 <1% 34 $609.62
64430 <1% 13 $586.71
H0023 Behavioral health outreach service (planned approach to reach a targeted population) <1% 105 $579.70
93298 <1% 38 $574.71
51798 <1% 65 $564.28
72110 <1% 27 $501.74
93280 <1% 18 $467.04
77470 <1% 22 $455.67
52310 <1% 14 $444.85
88311 <1% 304 $428.98
88172 <1% 18 $412.85
01996 <1% 35 $404.13
91037 <1% 61 $396.66
99443 <1% 56 $391.43
97542 <1% 16 $390.66
85060 <1% 14 $379.61
62270 <1% 13 $374.30
76604 <1% 23 $345.14
73221 <1% 13 $341.70
80354 <1% 19 $340.67
77063 Screening digital breast tomosynthesis, bilateral <1% 1,242 $340.67
93788 <1% 64 $326.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 42 $316.35
54450 <1% 15 $305.03
94618 <1% 12 $271.80
93922 <1% 14 $255.64
92537 <1% 43 $253.28
99367 <1% 35 $244.08
17250 <1% 12 $227.90
93297 <1% 15 $205.01
92519 <1% 15 $192.13
93244 <1% 54 $165.63
73060 <1% 25 $163.41
0298T <1% 38 $150.33
72050 <1% 12 $135.91
91065 <1% 14 $134.26
96168 <1% 150 $132.84
99053 <1% 98 $124.57
72190 <1% 13 $121.29
93248 <1% 102 $121.18
99422 <1% 351 $92.79
96151 <1% 12 $88.80
11100 <1% 12 $83.64
96159 <1% 90 $79.65
73600 <1% 16 $63.56
81003 <1% 96 $30.11
36416 <1% 90 $19.80
90899 <1% 70 $17.50
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% 13 $8.04
77062 0% 82 $0.00
96165 0% 31 $0.00
3078F 0% 593 $0.00
99100 0% 63 $0.00
0502F 0% 32 $0.00
77061 0% 14 $0.00
3074F 0% 668 $0.00
3079F 0% 27 $0.00
3044F 0% 194 $0.00
1123F 0% 172 $0.00
96154 0% 15 $0.00
96150 0% 27 $0.00
96164 0% 31 $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)
Same official

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