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

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

University Family Physicians, Inc. (NPI 1043275787)

Key Findings

Field	Value
Entity Type	Organization
Organization	University Family Physicians, Inc.
Address	1701 N Senate Blvd
City	Indianapolis
State	IN
ZIP	46202
Taxonomy	Family Medicine Physician
NPI Enumerated	April 18, 2006

Payer Source	Total Paid
Medicaid	$65.3M
Medicare	$0

This provider is effectively a single-payer Medicaid billing entity: Total Medicare revenue: none (no Medicare billing on file) while Total Medicaid revenue is $65.3M, indicating the organization’s revenue stream on file is dominated by Medicaid payers. The absence of any Medicare activity on record suggests payer exposure and competitive analysis should focus on Medicaid dynamics rather than dual-payer comparisons.

Revenue concentration is high: the precomputed top 3 Medicaid codes by revenue account for 60.0% of this provider's total Medicaid revenue. Those top contributors are 99214 ($16M, 172K claims, $93 avg paid/claim, 26.5% of total), 99213 ($14.6M, 211.4K claims, $69 avg paid/claim, 24.2% of total), and 88305 ($5.6M, 106.6K claims, $53 avg paid/claim, 9.4% of total), showing a heavy dependence on a small set of services for the bulk of Medicaid receipts.

The primary revenue drivers (99214 and 99213) are evaluation-and-management office visit codes, which positions the entity as a very high-volume primary care/outpatient E/M operation under Medicaid. The large claim volumes (172K and 211.4K claims respectively) and the fact that these two codes together represent over half of the top-three share indicate clinic-based, repeat ambulatory care is the organization’s core service line.

Beyond primary care E/M, the presence of 88305 as a top code (106.6K claims, $5.6M revenue) points to substantial pathology or surgical specimen processing activity billed under this tax entity. Combined with high-volume ophthalmology and imaging codes elsewhere on the list (e.g., 92134, 92015, 92004), the code mix suggests the group bills a broader mix of diagnostic and procedural services in addition to family medicine encounters.

Competitive standing in-state is dominant for several high-volume codes: 99214 ranks #10 of 2122 providers in-state (100th percentile; extreme outlier) and 99213 ranks #12 of 2377 providers in-state (100th percentile; extreme outlier), indicating this entity operates at far above typical state volume for core office E/M services. Other codes such as 88305 (rank #2 of 143, 99th percentile; extreme outlier) and 92134 (rank #1 of 84, 100th percentile; extreme outlier) further support its position as a major Medicaid player across multiple service lines within the state.

Hospital-based E/M codes (99232, 99233, 99223) also appear with high volumes and outlier ranks (e.g., 99232: 98.6K claims, $4.3M revenue, rank #4 of 527 providers, 99th percentile), indicating the billing entity includes substantial inpatient or observation care activity in addition to ambulatory services. This mix of outpatient and inpatient E/M volumes suggests operational breadth that extends beyond a narrow family practice model.

Several codes show statistically extreme or notable outlier status in plain terms: 99214 and 99213 are listed as "extreme outlier," 88305 is an "extreme outlier," and multiple ophthalmology and vaccine administration codes (e.g., 92015 rank #1 of 840 providers, 90471 rank #6 of 656 providers) are at or near the top of state rankings. These labels indicate volumes and patterns that are far above typical state-level peers and should be considered when benchmarking utilization or negotiating network relationships.

Tenure is long-standing: NPI enumerated on 2006-04-18 (~20 years ago), so the provider has an extended period of activity in the public data. Given the concentration of Medicaid revenue ($65.3M) in a small set of high-volume codes, analysts should prioritize Medicaid utilization trends, state-level benchmarking, and the operational implications of heavy dependence on ambulatory E/M and pathology/ophthalmology services for future revenue forecasts and network strategy.

Medicaid: Complete Services Breakdown

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

260 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…	171,970	$90	$16M
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…	211,370	$70	$14.6M
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	106,580	$50	$5.6M
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…	98,560	$40	$4.3M
99204	The provider sees a new 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 provider…	27,060	$150	$4M
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…	44,380	$70	$3.2M
99203	The provider sees a new 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 provider…	17,450	$90	$1.5M
88307	The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	15,820	$90	$1.4M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	8,120	$120	$974.6K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	74,420	$10	$893.1K

Showing 1–10 of 260

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

University Family Physicians, Inc. — 20 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

260 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	352	360	3,490	$110	$1.5M
J0585	Injection, onabotulinumtoxina, 1 unit	17	30	280	$820	$992.2K
J0178	Injection, aflibercept, 1 mg	19	20	470	$610	$598.3K
64642	The provider injects a chemical, such as Botox®, into one to four muscles of one extremity to relieve a patient's pain and spasms.	4	10	1,080	$470	$495.6K
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…	10	2,120	870	$60	$450.6K
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…	12	2,380	920	$50	$376.8K
99218	N/A	43	50	180	$350	$327.2K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	129	160	1,390	$70	$294.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	27	280	880	$80	$267.2K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	2	140	830	$50	$265K

Showing 1–10 of 260

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Todd Randolph	AR	Anatomic Pathology & Clinical Pathology Physician	$405.5K	$0
Bryan Mayol	IN	Sports Medicine (Family Medicine) Physician	$223.7K	$0
Denis Jusufbegovic	IN	Retina Specialist (Ophthalmology) Physician	$210.6K	$0
Hui Bae Lee	IN	Ophthalmic Plastic and Reconstructive Surgery Physician	$193.5K	$0
Yasemin Sozeri	OH	Ophthalmology Physician	$124.1K	$0
Jacob Halvorsen	WI	Physical Medicine & Rehabilitation Physician	$121.8K	$0
Steven Hill	IN	Internal Medicine Physician	$117.6K	$0
Stephen Klapper	IN	Ophthalmology Physician	$105.6K	$0
Haihong Mao	IN	Family Medicine Physician	$100.7K	$0
Jacob Ramsey-morrow	IN	Physical Medicine & Rehabilitation Physician	$94.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Health And Hospital Corporation Of Marion County	IN	General Acute Care Hospital	$0	$231.6M
Indiana University Health Care Associates, Inc	IN	General Practice Physician	$0	$125.4M
Indiana University Health Inc	IN	General Acute Care Hospital	$0	$111.5M
University Pediatric Associates, Inc.	IN	Pediatrics Physician	$0	$98.3M
Indiana University Health Inc	IN	Children's Hospital	$0	$75.6M
Indiana University Radiology Associates, Inc.	IN	Diagnostic Radiology Physician	$0	$47.8M
The Health And Hospital Corporation Of Marion County	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$46.9M
Icem-wishard LLC	IN	Emergency Medicine Physician	$0	$34.6M
The Health And Hospital Corporation Of Marion County	IN	Nurse Practitioner	$0	$30.1M
University Medical Diagnostic Associates, Inc.	IN	Internal Medicine Physician	$0	$28.3M

University Family Physicians, Inc. — Billing Profile & Reimbursement Data

Sign up for University Family Physicians, Inc. — Billing Profile & Reimbursement Data policy alerts

University Family Physicians, Inc. — Billing Profile & Reimbursement Data

Sign up for University Family Physicians, Inc. — 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