Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Washington for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Washington only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Washington (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

The Association Of University Physicians (NPI 1023041159)

Key Findings

Field	Value
Entity Type	Organization
Organization	The Association Of University Physicians
Address	701 5th Ave
City	Seattle
State	WA
ZIP	98104
Taxonomy	Anesthesiology Physician
NPI Enumerated	July 9, 2006

Payer Source	Total Paid
Medicaid	$66.3M
Medicare	$0

This provider has no Medicare billing on file and all documented federal program revenue is from Medicaid, with total Medicaid revenue of $66.3M. In practical terms the entity operates as a Medicaid-focused biller in this dataset, so analyses of federal payer mix should treat it as effectively single-payer (Medicaid) for Medicare/Medicaid comparisons.

Top 3 Medicaid codes by revenue account for 48.6% of this provider's total Medicaid revenue; those codes are 99214 ($12.7M, 22.7%), 99285 ($7.7M, 13.7%), and 99232 ($6.8M, 12.2%). This concentration shows that nearly half of Medicaid revenue is driven by a small set of high-volume E/M services spanning office visits, emergency department care, and inpatient follow-up.

The code mix—dominated by high-volume E/M codes (99214, 99213, 99285, 99284, 99232/99233) alongside substantial imaging (74177, 70450, 71275, 70553) and pathology (88305)—is consistent with a hospital-based practice or large academic clinical system that provides both ambulatory and acute care plus centralized diagnostics. The presence of both emergency (99285/99284) and inpatient subsequent care codes (99232/99233) indicates operational capacity across ED, inpatient, and outpatient settings rather than a narrow outpatient-only clinic.

The provider is a statewide leader on many measures: 99232 ranks #1 of 170 providers in-state (100th percentile; extreme outlier), 93010 ranks #1 of 168 (100th percentile; extreme outlier), 72125 ranks #1 of 90 (100th percentile; extreme outlier), and 71260 ranks #1 of 92 (100th percentile; extreme outlier). These rankings and percentile placements signal dominant market share for several key E/M and imaging services within Washington state.

Claim volumes show very high ambulatory and ED throughput: 99214 (282.2K claims, rank #6 of 1823 in-state; 100th percentile; extreme outlier), 99284 (100.6K claims, $6.1M revenue, rank #3 of 225; 99th percentile; notably above typical state volume), and 99285 (83.2K claims, $7.7M revenue, rank #4 of 192; 98th percentile; notably above typical state volume). Those volumes indicate sustained, large-scale patient-facing activity that drives the majority of Medicaid payments.

Imaging and diagnostic services represent meaningful ancillary revenue and high state ranking: 74177 generated $2.3M (4.1% of Medicaid revenue) and ranks #4 of 139 (98th percentile), 70450 generated $1.3M (2.4%) and ranks #4 of 129 (98th percentile), and 71275 generated $886.4K (1.6%) and ranks #3 of 85 (98th percentile). The breadth and rank of CT, MRI, and CTA services suggest integrated radiology capacity supporting the provider's acute and outpatient workflows.

The provider also reports specialist and high-acuity service lines: critical care code 99291 produced $1.1M (2.0% of Medicaid revenue) and ranks #5 of 126 (97th percentile; notably above typical state volume), EEG monitoring 95720 generated $309.4K (0.6%) and ranks #1 of 8 (100th percentile), and surgical pathology 88305 generated $1.1M (2.0%) and ranks #4 of 142 (98th percentile). These data points indicate capabilities in critical care, neurophysiology, and pathology that complement the high-volume E/M and imaging activity.

NPI enumeration date is 2006-07-09 (~20 years ago), indicating long tenure in the Medicare/Medicaid enrollment system; this longevity is consistent with the scale and scope of billing observed and suggests established referral relationships and operational infrastructure supporting high-volume inpatient, ED, outpatient, and diagnostic services.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

400 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	282,190	$50	$12.7M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	83,200	$90	$7.7M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	175,370	$40	$6.8M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	100,570	$60	$6.1M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	164,370	$40	$5.9M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	46,830	$50	$2.3M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	33,340	$60	$1.8M
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	30,430	$60	$1.7M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	55,550	$20	$1.3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	7,960	$140	$1.1M

Showing 1–10 of 400

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.

Claims Volume vs. Washington Distribution

The Association Of University Physicians — 21 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

400 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	3	230	5,440	$90	$1.8M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	115	230	6,220	$100	$1.8M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	4	190	5,130	$100	$1.8M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	4	10	730	$270	$1.2M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	4	140	2,830	$150	$1.1M
93451	In this procedure, the provider gains percutaneous venous access through the internal jugular, subclavian, or femoral vein under fluoroscopic guidance. He obtains oxygen saturation measurements that…	2	10	1,070	$950	$1M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	3	10	3,130	$280	$968.3K
J0178	Injection, aflibercept, 1 mg	23	30	550	$930	$892.3K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	9	10	4,100	$160	$753.2K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	7	10	560	$80	$613.5K

Showing 1–10 of 400

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Washington	WA	General Acute Care Hospital	$0	$129.5M
Harborview Medical Center	WA	General Acute Care Hospital	$0	$128.2M
Franciscan Medical Group	WA	Family Medicine Physician	$0	$92.6M
Fred Hutchinson Cancer Center	WA	General Acute Care Hospital	$0	$72.6M
University Of Washington	WA	Clinical Medical Laboratory	$1.5M	$36.6M
The Vancouver Clinic Inc Ps	WA	Internal Medicine Physician	$0	$28.2M
Uw School Of Dentistry	WA	Dentist	$0	$23.4M
Uw Medicine Northwest	WA	General Acute Care Hospital	$0	$5.7M
Pacmed Clinics	WA	Multi-Specialty Clinic/Center	$0	$4.5M
North Kitsap Ambulatory Surgery Center, LLC	WA	Ambulatory Surgical Clinic/Center	$3.1M	$60.2K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Seattle-king County Dept Of Public Health	WA	Case Manager/Care Coordinator	$0	$74M
Seattle-king County Dept Of Public Health	WA	Dental Clinic/Center	$0	$62.9M
Bloodworks	WA	Community/Retail Pharmacy	$0	$56.8M
Swedish Health Services	WA	Internal Medicine Physician	$0	$21.1M
International Community Health Services	WA	Dentist	$0	$16M
Swedish Health Services	WA	Family Medicine Physician	$0	$11.1M
Northwest Kidney Centers	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.2M
King County Finance	WA	State or Local Public Health Clinic/Center	$0	$5.7M
Downtown Emergency Service Center	WA	Community/Behavioral Health Agency	$0	$3.3M
The Young Mens Christian Association Of Greater Seattle	WA	Health Educator	$6K	$2.8M

The Association Of University Physicians — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References