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

Why is the Medicaid comparison limited to Louisiana 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. Louisiana (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 Medical Center Management Corporation (NPI 1083655567)

University Medical Center Management Corporation is a family medicine physician provider located in New Orleans, Louisiana. This profile covers 0 Medicare and 120 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	University Medical Center Management Corporation
Address	2000 Canal St
City	New Orleans
State	LA
ZIP	70112
Taxonomy	Family Medicine Physician
NPI Enumerated	June 8, 2006

Payer Source	Total Paid
Medicaid	$6.1M
Medicare	$0

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

120 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…	49,090	$40	$2.1M
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…	40,670	$20	$976K
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…	8,610	$60	$525.3K
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…	9,280	$30	$315.5K
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…	6,830	$40	$238.9K
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…	1,700	$100	$163.5K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	990	$150	$147.9K
99205	The provider sees a new 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 provider…	1,670	$70	$114.9K
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…	2,660	$40	$106.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	6,920	$10	$96.9K

Showing 1–10 of 120

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Louisiana Distribution

University Medical Center Management Corporation — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. Louisiana median

120 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	17	90	1,270	$50	$375.3K
16020	This CPT code is for the dressing and/or debridement of a partial–thickness burn (either initially or subsequently). In this instance the burn is small (less than 5% of the total body surface area).	6	10	80	$230	$360.6K
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…	55	2,890	980	$40	$246.8K
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…	12	30	1,080	$70	$229.4K
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…	38	150	340	$120	$204.6K
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…	128	3,230	1,120	$30	$204.3K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	73	160	380	$170	$194.7K
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…	118	470	560	$40	$157.3K
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…	206	750	760	$30	$135.9K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	517	660	1,070	$60	$129.3K

Showing 1–10 of 120

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Medical Center Management Corporation	LA	General Acute Care Hospital	$0	$87M
Michael Wilson	AL	Critical Care Medicine (Internal Medicine) Physician	$131.9K	$0
Laura Kidd	LA	Anatomic Pathology & Clinical Pathology Physician	$72K	$0
Dustin Yontz	MS	Diagnostic Radiology Physician	$66.3K	$0
Yukihiro Nakanishi	FL	Anatomic Pathology Physician	$60.5K	$0
Andrew Sholl	LA	Anatomic Pathology & Clinical Pathology Physician	$42.6K	$0
Virendra Joshi	LA	Gastroenterology Physician	$41.1K	$0
Robert Ordonez	LA	Family Medicine Physician	$23.2K	$0
Nadja Falk	FL	Cytopathology Physician	$20.5K	$0
Christian Trahan	ME	Certified Registered Nurse Anesthetist	$12.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Louisiana State University School Of Medicine In New Orleans Faculty G	LA	Multi-Specialty Clinic/Center	$0	$67.9M
Administrators Of The Tulane Educational Fund	LA	Specialist	$0	$24.6M
Louisiana State University School Of Medicine In New Orleans Faculty	LA	Emergency Medicine Physician	$0	$21.5M
Aaa Care LLC	LA	Developmentally Disabled Services Day Training Agency	$0	$14.9M
Sagar Patel	LA	Ophthalmology Physician	$1.5M	$270
Elsa Schexnaildre	LA	Family Nurse Practitioner	$257.2K	$0
Ramprasad Kandavar	LA	Nephrology Physician	$236.8K	$0
Nathaniel Peyton	LA	Gastroenterology Physician	$220.2K	$0
Heatherly Hill	LA	Family Nurse Practitioner	$214K	$0
Jude Regis	LA	Emergency Medicine Physician	$29.5K	$178.9K

University Medical Center Management Corporation — Billing Profile & Reimbursement Data

Sign up for University Medical Center Management Corporation — Billing Profile & Reimbursement Data policy alerts

University Medical Center Management Corporation — Billing Profile & Reimbursement Data

Sign up for University Medical Center Management Corporation — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References