Medicaid Provider Spending

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

UNIVERSITY PHYSICIANS INCORPORATED

NPI: 1962461889 · AURORA, CO 80045 · Anesthesiology Physician · NPI assigned 03/20/2006

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

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

$190.65M
Total Medicaid Paid
3,200,864
Total Claims
2,760,153
Beneficiaries
421
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDONAHUE, LISA (ASSOCIATE COMPLIANCE OFFICER)
NPI Enumeration Date03/20/2006

Related Entities

Other providers sharing the same authorized official: DONAHUE, LISA

ProviderCityStateTotal Paid
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 HIGHLANDS RANCH CO $1.18M
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
2018 447,573 $25.35M
2019 441,266 $25.06M
2020 370,403 $19.70M
2021 493,313 $28.48M
2022 490,651 $29.47M
2023 544,314 $35.41M
2024 413,344 $27.19M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 256,417 244,484 $24.11M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 166,496 155,648 $21.07M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 228,244 217,252 $19.59M
99215 Prolong outpt/office vis 150,525 137,566 $16.61M
99283 Emergency department visit for the evaluation and management, moderate severity 188,158 179,595 $9.55M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 150,005 141,983 $8.98M
99233 Prolong inpt eval add15 m 99,025 38,242 $6.86M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 48,965 47,271 $6.67M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 14,555 4,449 $5.69M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 60,347 58,317 $5.54M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 28,700 11,112 $5.13M
99232 Subsequent hospital care, per day, moderate complexity 84,736 38,212 $4.00M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 47,837 45,359 $2.57M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 293,239 238,491 $2.31M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 25,508 24,030 $2.21M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 24,586 22,788 $2.19M
74177 Computed tomography, abdomen and pelvis; with contrast material 36,712 34,904 $2.15M
71045 Radiologic examination, chest; single view 208,445 154,967 $1.99M
99205 Prolong outpt/office vis 10,860 10,359 $1.81M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 26,335 24,011 $1.80M
70450 Computed tomography, head or brain; without contrast material 46,874 41,679 $1.63M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 4,414 1,347 $1.56M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 16,905 16,199 $1.53M
71046 Radiologic examination, chest; 2 views 103,567 98,023 $1.48M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 18,018 17,305 $1.48M
99480 Subsequent intensive care, per day, low birth weight infant 13,519 4,584 $1.46M
70551 Magnetic resonance imaging, brain; without contrast material 19,511 18,710 $1.33M
99220 11,460 10,315 $1.15M
99223 Prolong inpt eval add15 m 8,645 7,693 $1.05M
99479 Subsequent intensive care, per day, very low birth weight infant 9,370 2,474 $1.02M
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 7,492 7,255 $899K
95720 4,014 2,837 $883K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8,962 8,746 $844K
93320 28,952 25,771 $785K
95810 Polysomnography; sleep staging with 4 or more additional parameters 7,875 5,986 $714K
74018 64,526 56,147 $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 3,234 1,619 $664K
96110 Developmental screening, with scoring and documentation, per standardized instrument 49,988 45,268 $651K
00170 Anesthesia for intraoral procedures, including biopsy 2,186 2,093 $597K
99238 Hospital discharge day management, 30 minutes or less 11,740 10,445 $588K
95951 2,944 1,899 $573K
99460 8,870 8,505 $568K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 8,261 7,879 $496K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 4,552 4,389 $484K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13,649 12,031 $483K
99239 Hospital discharge day management, more than 30 minutes 5,676 5,336 $442K
76700 Ultrasound, abdominal, real time with image documentation; complete 13,055 12,566 $438K
01922 1,301 1,219 $434K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 11,365 10,047 $425K
76770 11,605 11,227 $395K
76705 Ultrasound, abdominal, real time with image documentation; limited 15,267 14,455 $385K
67028 Intravitreal injection of a pharmacologic agent 3,985 3,637 $379K
71275 Computed tomographic angiography, chest, with contrast material 7,987 7,568 $372K
59025 Fetal non-stress test 13,055 11,021 $367K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 4,159 3,740 $367K
77014 13,630 7,196 $366K
93975 3,032 2,865 $349K
64615 4,201 4,057 $348K
93976 7,510 7,068 $307K
70496 4,319 4,016 $299K
99417 Prolong home eval add 15m 3,477 3,087 $289K
93325 38,674 33,252 $286K
H1005 Prenatal care, at-risk enhanced service package (includes h1001-h1004) 702 633 $283K
71260 Computed tomography, thorax, diagnostic; with contrast material 6,144 5,861 $279K
94375 19,747 18,857 $268K
99222 Initial hospital care, per day, moderate complexity 2,793 2,597 $254K
95782 2,276 2,222 $241K
90935 Hemodialysis procedure with single evaluation by a physician 6,229 2,859 $229K
70498 3,198 3,013 $220K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 18,239 16,965 $193K
76830 Ultrasound, transvaginal 6,472 6,214 $189K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,041 807 $187K
90834 Psychotherapy, 45 minutes with patient 2,756 1,302 $184K
42820 Tonsillectomy and adenoidectomy; younger than age 12 899 852 $183K
92134 11,027 10,604 $168K
71250 4,842 4,642 $151K
20610 3,596 2,745 $149K
00142 1,378 1,221 $148K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 2,919 2,701 $147K
88305 Level IV - Surgical pathology, gross and microscopic examination 4,209 3,041 $145K
77067 Screening mammography, bilateral, including computer-aided detection 4,322 4,281 $139K
90837 Psychotherapy, 53 minutes with patient 1,518 902 $127K
78815 Positron emission tomography (PET) for limited area imaging 1,652 1,576 $123K
99231 Subsequent hospital care, per day, straightforward or low complexity 3,971 2,297 $120K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 2,800 2,700 $120K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,212 2,110 $115K
31231 2,008 1,891 $112K
76857 6,781 6,502 $110K
93970 1,950 1,652 $109K
31622 724 563 $105K
72125 Computed tomography, cervical spine; without contrast material 2,720 2,551 $103K
31579 762 730 $103K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,690 1,531 $101K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 997 962 $101K
92060 2,446 2,349 $95K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,083 1,849 $89K
95812 500 481 $82K
73610 15,995 14,861 $80K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 591 558 $80K
93971 6,128 5,803 $79K
62370 927 891 $79K
73630 17,707 15,973 $79K
94729 5,614 5,434 $77K
94726 4,595 4,438 $77K
74021 3,372 3,239 $77K
99217 1,545 1,363 $76K
76642 3,065 2,710 $76K
94060 6,237 6,035 $74K
49452 153 147 $73K
93227 2,655 2,572 $70K
99468 100 85 $69K
73562 11,572 10,287 $67K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,388 2,230 $65K
51741 3,148 3,005 $60K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 309 260 $57K
99152 3,254 2,873 $56K
94621 1,468 1,392 $56K
99384 448 441 $54K
96116 649 589 $53K
90832 Psychotherapy, 30 minutes with patient 1,215 929 $52K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,415 995 $48K
92133 2,922 2,818 $47K
73130 9,975 9,008 $46K
88307 871 646 $45K
73030 8,007 7,373 $45K
92083 2,792 2,697 $44K
74230 1,929 1,851 $44K
00731 488 454 $44K
95718 306 288 $43K
73110 8,112 7,397 $43K
95806 691 636 $42K
D0145 Oral evaluation for a patient under three years of age 1,402 1,341 $42K
43762 350 345 $42K
90961 622 556 $42K
95076 439 401 $41K
77427 346 209 $40K
64483 292 281 $40K
99219 460 451 $40K
17311 172 125 $39K
76825 649 517 $37K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,225 1,143 $37K
31526 429 336 $35K
72082 2,783 2,696 $34K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,277 1,111 $34K
99381 376 343 $33K
73090 6,045 5,649 $32K
G9002 Coordinated care fee, maintenance rate 185 154 $31K
96040 4,845 4,289 $30K
64642 335 318 $30K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 425 416 $30K
99292 258 128 $30K
73590 4,777 4,377 $30K
95991 481 465 $30K
73521 3,330 3,250 $29K
77066 Tomosynthesis, mammo 759 740 $28K
99471 44 39 $28K
77073 2,370 2,297 $26K
72170 3,177 3,070 $25K
95079 199 179 $24K
95957 436 212 $24K
64400 193 159 $24K
95819 567 531 $24K
93228 1,211 1,185 $23K
90791 Psychiatric diagnostic evaluation 267 204 $23K
74019 1,383 1,270 $23K
11721 2,143 2,113 $23K
11900 1,118 1,053 $22K
88108 915 657 $22K
72100 2,901 2,775 $22K
99354 434 394 $22K
77072 2,984 2,904 $21K
54150 647 366 $20K
15004 82 65 $20K
93308 767 603 $20K
76376 2,378 2,193 $20K
93314 437 377 $20K
76536 903 875 $20K
93321 2,526 2,052 $19K
76821 405 302 $19K
99221 274 247 $18K
73502 2,663 2,570 $18K
70360 3,339 3,238 $18K
54161 185 175 $18K
92015 Determination of refractive state 12,364 11,995 $18K
96156 1,797 1,741 $18K
D1206 Topical application of fluoride varnish 1,075 1,058 $17K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 601 577 $17K
76377 523 504 $17K
76827 648 517 $17K
70486 414 388 $17K
99418 Prolong nursin fac eval 15m 277 158 $16K
69210 1,032 979 $16K
95251 832 801 $16K
73140 3,509 3,374 $16K
99282 Emergency department visit for the evaluation and management, low to moderate severity 507 488 $16K
46607 118 93 $15K
76942 662 564 $14K
99383 133 130 $14K
64405 826 644 $14K
93356 425 380 $14K
95886 280 272 $14K
20553 770 723 $14K
31575 426 402 $14K
95811 152 148 $14K
31624 39 36 $13K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 300 278 $13K
73100 3,215 3,030 $13K
75561 110 108 $13K
00811 115 113 $13K
64643 153 150 $12K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 1,270 1,012 $12K
96133 79 55 $12K
99462 308 283 $12K
73080 2,130 1,993 $11K
84165 3,408 2,569 $11K
77065 Tomosynthesis, mammo 474 453 $11K
76820 395 285 $11K
99201 290 282 $10K
76819 Fetal biophysical profile; without non-stress testing 237 150 $10K
76506 302 268 $10K
76801 256 241 $10K
88342 582 334 $9K
77080 169 167 $9K
72141 121 117 $9K
74240 326 312 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 86 84 $8K
76813 161 161 $8K
90792 Psychiatric diagnostic evaluation with medical services 87 63 $8K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 584 430 $8K
93018 747 721 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 579 485 $8K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 29 24 $8K
99475 12 12 $8K
86077 248 226 $8K
74183 125 120 $8K
92504 534 518 $8K
93304 189 167 $7K
00140 65 52 $7K
96167 1,125 994 $7K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 134 129 $7K
96127 352 351 $7K
99476 24 13 $7K
99382 69 63 $7K
90966 154 146 $7K
99356 160 85 $7K
93294 257 254 $7K
93312 123 90 $7K
75574 40 40 $6K
17110 251 246 $6K
88313 337 231 $6K
75573 65 63 $6K
86334 1,525 1,019 $6K
90847 Family psychotherapy with the patient present, 50 minutes 98 77 $6K
43760 153 139 $5K
92235 130 126 $5K
90853 Group psychotherapy (other than of a multiple-family group) 321 175 $5K
73564 730 669 $5K
72081 528 510 $5K
45380 Colonoscopy, flexible; with biopsy, single or multiple 25 24 $5K
73070 1,135 1,079 $5K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 26 26 $5K
49083 19 16 $5K
70544 80 79 $5K
00920 29 25 $4K
80323 241 148 $4K
96112 43 41 $4K
64418 118 108 $4K
70491 73 68 $4K
00635 13 12 $4K
82570 737 455 $4K
95913 15 15 $4K
73560 774 712 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 260 196 $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) 2,885 2,774 $4K
76775 156 149 $4K
94010 544 527 $4K
76885 116 113 $4K
77334 46 33 $4K
73552 505 468 $3K
85390 333 324 $3K
95813 17 16 $3K
74160 86 67 $3K
80358 180 152 $3K
99218 57 56 $3K
93790 254 243 $3K
99236 Prolong inpt eval add15 m 23 13 $3K
15002 17 14 $3K
77387 172 106 $3K
92250 151 137 $3K
72040 464 447 $3K
95816 85 80 $3K
72146 36 36 $3K
78306 104 101 $3K
76870 93 92 $3K
96132 28 25 $3K
90945 73 24 $3K
15100 15 13 $3K
92020 185 181 $2K
64450 313 247 $2K
80349 134 100 $2K
80329 135 94 $2K
91200 247 237 $2K
77263 19 18 $2K
01810 12 12 $2K
75565 138 136 $2K
20611 36 36 $2K
93000 93 88 $2K
88173 70 41 $2K
70543 24 24 $2K
93295 72 64 $2K
76937 226 140 $2K
80324 90 73 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 41 41 $2K
95874 102 94 $2K
90674 83 77 $2K
92511 14 14 $2K
88291 57 53 $2K
76881 35 25 $2K
97802 25 24 $1K
95873 38 24 $1K
74220 102 94 $1K
76826 63 44 $1K
92540 75 38 $1K
90686 162 128 $1K
96111 13 13 $1K
96136 24 24 $1K
D0190 286 282 $1K
91299 61 13 $1K
88141 93 90 $1K
92025 45 41 $1K
93272 52 52 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 120 116 $1K
93568 17 12 $1K
J1030 Injection, methylprednisolone acetate, 40 mg 204 197 $1K
99441 114 110 $1K
93750 49 40 $1K
76828 47 32 $1K
92136 117 97 $1K
96158 270 154 $1K
52000 35 24 $969.37
80353 54 41 $968.22
88304 90 70 $968.16
74022 125 115 $964.83
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing 64 63 $961.98
88112 26 26 $876.76
16020 29 24 $873.58
73620 169 140 $872.11
11102 26 25 $869.69
92002 15 12 $858.10
42830 12 12 $854.72
99451 25 25 $800.48
50200 15 13 $772.72
H0049 Alcohol and/or drug screening 96 81 $770.15
36415 Collection of venous blood by venipuncture 294 277 $767.60
J3490 Unclassified drugs 137 102 $757.57
83036 Hemoglobin; glycosylated (A1C) 90 87 $754.74
73700 16 13 $693.81
73000 116 110 $652.98
78315 28 20 $622.76
80361 34 25 $609.62
64430 13 13 $586.71
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 105 87 $579.70
93298 38 36 $574.71
51798 65 59 $564.28
72110 27 27 $501.74
93280 18 12 $467.04
77470 22 18 $455.67
52310 14 13 $444.85
88311 304 219 $428.98
88172 18 13 $412.85
01996 35 26 $404.13
91037 61 12 $396.66
99443 56 51 $391.43
97542 16 13 $390.66
85060 14 12 $379.61
62270 13 12 $374.30
76604 23 15 $345.14
73221 13 12 $341.70
80354 19 14 $340.67
77063 Screening digital breast tomosynthesis, bilateral 1,242 1,228 $340.67
93788 64 59 $326.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 42 40 $316.35
54450 15 15 $305.03
94618 12 12 $271.80
93922 14 14 $255.64
92537 43 12 $253.28
99367 35 35 $244.08
17250 12 12 $227.90
93297 15 15 $205.01
92519 15 13 $192.13
93244 54 47 $165.63
73060 25 24 $163.41
0298T 38 38 $150.33
72050 12 12 $135.91
91065 14 14 $134.26
96168 150 141 $132.84
99053 98 82 $124.57
72190 13 13 $121.29
93248 102 98 $121.18
99422 351 348 $92.79
96151 12 12 $88.80
11100 12 12 $83.64
96159 90 54 $79.65
73600 16 12 $63.56
81003 96 90 $30.11
36416 90 87 $19.80
90899 70 69 $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 13 12 $8.04
77062 82 81 $0.00
96165 31 26 $0.00
3078F 593 551 $0.00
99100 63 48 $0.00
0502F 32 12 $0.00
77061 14 14 $0.00
3074F 668 630 $0.00
3079F 27 26 $0.00
3044F 194 174 $0.00
1123F 172 164 $0.00
96154 15 14 $0.00
96150 27 26 $0.00
96164 31 26 $0.00