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 Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas 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. Texas (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.

Ut Physicians (NPI 1033157821)

Key Findings

Field	Value
Entity Type	Organization
Organization	Ut Physicians
Address	6410 Fannin St
City	Houston
State	TX
ZIP	77030
Taxonomy	Anesthesiology Physician
NPI Enumerated	June 3, 2006

Payer Source	Total Paid
Medicaid	$94.4M
Medicare	$0

This provider is effectively single‑payer in scope: there is no Medicare billing on file and all reported federal payer revenue is Medicaid, with total Medicaid revenue of $94.4M. The absence of Medicare activity means analyses of Medicare mix, fee schedule differentials, or dual-eligibility referral patterns are not supported by the claims data available for this NPI.

Revenue concentration is meaningful: the top three Medicaid codes by revenue are 99213, 99214, and 99291, and those top 3 codes account for 32.0% of this provider's total Medicaid revenue. That concentration indicates a relatively high dependence on common outpatient E/M visits and high-acuity critical care services for a sizable share of reported Medicaid dollars.

The code mix suggests the operational footprint leans heavily into obstetrics, neonatal critical care, and high-volume outpatient services: high-revenue OB and perinatal codes such as 59409 ($4.8M), 99479 ($3.3M), 99469 ($2.7M) and multiple fetal ultrasound codes (76816 $3M, 76811 $2.4M, 76819 $2.1M, 76815 $1.7M, 76817 $1.4M) appear throughout the top codes. At the same time, critical care (99291 $5.6M) and cardiac imaging (93303 $3.2M, 93306 $1.9M) are material revenue drivers, indicating a mixed acute-care and specialty-imaging service line alongside the maternity/NICU volume.

Despite an Anesthesiology Physician taxonomy, the billing profile includes anesthesia-specific codes—01967 ($2M) and 01922 ($1.3M)—which support that anesthesiology services are present in the payer-facing mix, but the largest revenue contributors are non‑anesthesia E/M, obstetrics, neonatal, and imaging codes. This pattern is consistent with an institutional or multi-specialty practice that bills broad hospital-based maternity, NICU, ED, and imaging services in addition to anesthesia professional fees.

Competitive standing in Texas is dominant for many high-volume codes: 99213 ranks #12 of 6037 providers in-state (100th percentile; extreme outlier) and 99214 ranks #26 of 5814 providers in-state (100th percentile; extreme outlier), indicating extremely high established-office visit volume relative to peers. Similarly, several imaging and obstetric services rank at or near the top statewide (for example, 76811 ranks #2 of 155 providers in-state (99th percentile; extreme outlier), 76815 ranks #2 of 336 providers in-state (100th percentile; extreme outlier), and 59409 ranks #3 of 271 providers in-state (99th percentile; extreme outlier)), pointing to a major market position in maternal-fetal and prenatal imaging services.

The provider reports very high relative volume for several acute-care codes as well: 99291 (critical care) ranks #6 of 280 providers in-state (98th percentile; extreme outlier) and 93306 (echocardiography) ranks #2 of 410 providers in-state (100th percentile; extreme outlier). These ranks indicate the organization is a major statewide supplier of critical-care and advanced cardiac imaging services to Medicaid patients.

Several top codes are characterized in the source as "extreme outlier" or "notably above typical," which supports the conclusion that the provider operates at an unusually large scale for multiple service lines in Texas rather than showing isolated spikes. Examples include 99213 (extreme outlier), 99214 (extreme outlier), 99291 (extreme outlier), 76816 (extreme outlier), 76811 (extreme outlier), and 76815 (extreme outlier), underscoring broad, consistent outperformance across E/M, obstetrics, and imaging categories.

This NPI has long tenure on file—NPI enumerated (registered): 2006-06-03 (~20 years ago)—which, combined with the high statewide ranks and multi‑service revenue mix, suggests an established provider or provider group with sustained Medicaid-facing operations rather than a newly entered or low-volume participant.

Medicaid: Complete Services Breakdown

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

329 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	222,350	$50	$11.1M
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…	83,560	$80	$6.6M
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…	11,910	$470	$5.6M
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	7,240	$660	$4.8M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	23,840	$140	$3.3M
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…	15,220	$210	$3.2M
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	42,210	$70	$3M
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.	7,030	$380	$2.7M
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.	28,380	$90	$2.7M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	19,870	$130	$2.6M

Showing 1–10 of 329

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Ut Physicians — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

329 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	9	30	1,410	$340	$2.5M
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.	63	710	1,790	$200	$2.1M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	4	30	3,360	$120	$1.2M
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.	5	30	1,140	$370	$1.2M
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.	99	730	1,960	$100	$1M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	6	40	1,860	$110	$997.5K
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.	67	590	740	$170	$969.2K
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	13	80	1,160	$220	$768.8K
95782	A patient under the age of 6 undergoes an attended sleep study with identification of sleep levels and at least four additional sleep parameters.	11	30	330	$1,020	$750.2K
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…	5	70	850	$180	$621.2K

Showing 1–10 of 329

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Umc Physicians	TX	Family Medicine Physician	$0	$11.1M
Joseph Wolcott	TX	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	$3.1M	$0
Shaheen Kavoussi	TX	Ophthalmology Physician	$1.6M	$0
Ankur Khosla	TX	Interventional Pain Medicine Physician	$653.3K	$0
Naveed Saqib	TX	Vascular Surgery Physician	$611.7K	$0
Shehzad Sami	TX	Interventional Cardiology Physician	$556.6K	$0
Filemon Tan	TX	Rheumatology Physician	$546.2K	$0
Zagum Bhatti	TX	Vascular & Interventional Radiology Physician	$538.7K	$0
Stefan Kreuzer	TX	Orthopaedic Surgery Physician	$462.8K	$0
Faramarz Samie	NY	MOHS-Micrographic Surgery Physician	$432.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Texas Children's Hospital	TX	Children's Hospital	$0	$277.4M
Texas Children's Physician Group	TX	Pediatrics Physician	$0	$160.6M
Texas Children's Urgent Care	TX	Pediatrics Physician	$0	$63.7M
Memorial Hermann Health System	TX	General Acute Care Hospital	$0	$39.5M
Harris County Hospital District	TX	General Acute Care Hospital	$0	$27.7M
Baylor College Of Medicine	TX	Family Medicine Physician	$0	$18.1M
Igor Cherches	TX	Neurology Physician	$6.7M	$0
David Brown	TX	Ophthalmology Physician	$5.7M	$0
Tien Wong	TX	Ophthalmology Physician	$4.5M	$0
Ankoor Shah	TX	Ophthalmology Physician	$3.7M	$0

Ut Physicians — Billing Profile & Reimbursement Data

Sign up for Ut Physicians — Billing Profile & Reimbursement Data policy alerts

Ut Physicians — Billing Profile & Reimbursement Data

Sign up for Ut Physicians — Billing Profile & Reimbursement Data policy alerts

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