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

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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 Of Pittsburgh Physicians (NPI 1215995402)

University Of Pittsburgh Physicians is a psychiatry physician provider located in Pittsburgh, Pennsylvania. This profile covers 0 Medicare and 31 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 Of Pittsburgh Physicians
Address	200 Lothrop St
City	Pittsburgh
State	PA
ZIP	15213
Taxonomy	Psychiatry Physician
NPI Enumerated	May 4, 2006

Payer Source	Total Paid
Medicaid	$26.4M
Medicare	$0

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

31 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…	42,290	$210	$8.9M
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…	19,000	$240	$4.5M
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…	86,400	$40	$3.8M
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…	27,860	$110	$3.1M
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…	5,320	$260	$1.4M
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	45,960	$30	$1.2M
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,…	6,520	$120	$749.6K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	9,150	$80	$704.8K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	5,990	$90	$538.7K
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…	4,550	$60	$291.5K

Showing 1–10 of 31

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

University Of Pittsburgh Physicians — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	344	690	2,240	$80	$1M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	302	540	1,490	$50	$316.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	50	240	130	$300	$139.8K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	42	50	290	$180	$108.3K
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	8	20	190	$230	$104.4K
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…	18	8,160	210	$60	$68.4K
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…	59	8,870	240	$40	$56.1K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	256	310	70	$160	$53.9K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	59	90	330	$60	$52.7K
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…	21	610	90	$60	$50.1K

Showing 1–10 of 31

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Louisiana State University School Of Med In New Orleans Faculty Grou	LA	Pediatrics Physician	$0	$43M
University Of Pittsburgh Physicians	PA	Specialist	$0	$23.6M
Ashok Muthukrishnan	FL	Nuclear Radiology Physician	$3.9M	$129.2K
Daniel Delo	NC	Rheumatology Physician	$2.8M	$0
Vimala Ramesh	PA	Anesthesiology Physician	$57.8K	$2.2M
Medical Foundation, Inc.	MS	Geriatric Medicine (Family Medicine) Physician	$0	$1.8M
Pamela Rath	PA	Ophthalmology Physician	$1.7M	$17.7K
Christopher Hodge	MA	Anesthesiology Physician	$109.9K	$1.6M
Charles Luke	PA	Anesthesiology Physician	$59.3K	$1.6M
Monica Mohile	PA	Rheumatology Physician	$1.4M	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Upmc Presbyterian Shadyside	PA	General Acute Care Hospital	$0	$125.5M
Upmc Magee-womens Hospital	PA	General Acute Care Hospital	$0	$43M
Upmc Presbyterian Shadyside	PA	Methadone Clinic	$165.7K	$5.9M
Shyam Kodati	PA	Ophthalmology Physician	$1.1M	$0
Sandeep Sharma	PA	Nephrology Physician	$900.7K	$0
Badreddine Bencherif	PA	Specialist	$560.6K	$0
Ashima Lall	PA	Diagnostic Radiology Physician	$518.1K	$41.5K
Andrew Eller	PA	Specialist	$509.8K	$290
S. Kreps	PA	Child & Adolescent Psychiatry Physician	$39.8K	$462.6K
Geetha Jeyabalan	PA	Surgery Physician	$370.3K	$0

University Of Pittsburgh Physicians — Billing Profile & Reimbursement Data

Sign up for University Of Pittsburgh Physicians — Billing Profile & Reimbursement Data policy alerts

University Of Pittsburgh Physicians — Billing Profile & Reimbursement Data

Sign up for University Of Pittsburgh Physicians — 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