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 Hospital & Clinics, Inc. (NPI 1306281126)

Field	Value
Entity Type	Organization
Organization	University Hospital & Clinics, Inc.
Address	2390 W Congress St
City	Lafayette
State	LA
ZIP	70506
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 7, 2013

Payer Source	Total Paid
Medicaid	$60.9M
Medicare	$0

Key Findings

This provider is effectively single-payer in the available data: there is no Medicare billing on file while lifetime Medicaid revenue is $60.9M. That concentration makes Medicaid the dominant and only measurable payer in this profile, so analyses of scale and service mix should be framed around Medicaid activity exclusively.

Revenue is highly concentrated in emergency and clinic evaluation-and-management services: the top three Medicaid codes (99284, 99283, 99285) together account for 36.8% of the provider's total Medicaid revenue. Those three codes individually represent $6.9M (99284, 14.9%), $5.2M (99283, 11.3%), and $4.9M (99285, 10.6%), signaling that a majority of earnings are driven by urgent/emergent and high-acuity evaluation visits.

The code mix points to a combined emergency department and high-volume outpatient clinic model. High counts and revenue for ED codes 99282–99285 alongside extreme outlier volumes for ambulatory E/M codes 99213, 99214, 99211 and 99215 indicate simultaneous heavy ED throughput and sizable scheduled outpatient encounters, consistent with a general acute care hospital operating robust ambulatory clinics.

Emergency department volume is elevated but largely within the state's typical distribution: 99283 ranks #20 of 266 providers in-state at the 93rd percentile (described as typical, unremarkable volume), 99284 ranks #43 of 266 at the 84th percentile, and 99285 ranks #49 of 237 at the 80th percentile. In plain terms, the hospital sees substantial ED activity relative to peers without being labeled an extreme outlier for those ED-specific codes.

By contrast, ambulatory office visit codes show extreme statewide dominance. 99213 (136.2K claims) ranks #26 of 3226 providers at the 99th percentile (extreme outlier, far above typical state volume), 99214 (92.7K claims) ranks #23 of 2894 at the 99th percentile (extreme outlier), 99211 ranks #3 of 838 at the 100th percentile (extreme outlier), and 99215 ranks #4 of 704 at the 100th percentile (extreme outlier), signaling this provider is a major statewide outlier for routine outpatient visit volume.

The provider also supports significant infusion and oncology services as part of its revenue mix: J9271 (pembrolizumab) generated $2.6M and ranks #2 of 8 in-state (86th percentile, typical, unremarkable volume), J1745 (infliximab) generated $1.5M and ranks #1 of 4 (100th percentile, typical, unremarkable volume), and 96413 (chemotherapy administration) generated $1.1M and ranks #2 of 41 (98th percentile, notably above typical state volume). Together these codes indicate an established infusion/oncology capability that contributes materially to Medicaid revenue.

High laboratory and imaging throughput underpins ambulatory and ED activity: comprehensive metabolic panel 80053 appears 136.1K times for $1.1M in revenue (98th percentile, extreme outlier), CBC 85025 appears 128.6K times for $771.5K (98th percentile, extreme outlier), and COVID testing 87635 appears 23.7K times for $878.1K (96th percentile, notably above typical state volume). Substantial CT (74177, 71260) and diagnostic procedure volumes further support the profile of a full-service acute-care facility with on-site diagnostics.

Several procedure codes show exceptionally high statewide positioning that align with high outpatient throughput: joint injection 20610 produced $1.6M and ranks #2 of 131 providers (99th percentile, extreme outlier), while infusion administration 96372 and other outpatient injection codes are similarly extreme outliers. These procedural volumes reinforce that the hospital delivers a mix of office-based procedures and ambulatory therapeutics at a scale well above typical peers.

The NPI tenure (enumerated 2013-05-07, ~13 years ago) combined with the compact of ED, ambulatory E/M, infusion oncology, high-volume lab and imaging suggests an established regional general acute care hospital that derives most of its measurable business from Medicaid. Analysts should treat this entity as an entrenched Medicaid-focused acute and ambulatory services provider when assessing network capacity, Medicaid utilization, or competitive standing in Louisiana.

Medicaid: Complete Services Breakdown

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

415 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	48,980	$140	$6.9M
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.	53,750	$100	$5.2M
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.	25,110	$190	$4.9M
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…	136,190	$30	$4.4M
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…	92,710	$50	$4.3M
J9271	Injection, pembrolizumab, 1 mg	510	$5,220	$2.6M
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	99,680	$30	$2.5M
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…	47,910	$40	$2.1M
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	6,750	$240	$1.6M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	420	$3,560	$1.5M

Showing 1–10 of 415

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 Hospital & Clinics, Inc. — 12 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

415 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.	43	270	9,980	$110	$2.6M
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.	49	240	4,030	$130	$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.	20	270	11,250	$90	$1.8M
J9271	Injection, pembrolizumab, 1 mg	2	10	160	$3,820	$862.6K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	1	10	110	$3,420	$584.5K
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.	22	100	760	$100	$441.2K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	23	30	160	$520	$413.4K
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…	31	90	1,270	$50	$375.3K
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.	62	150	1,070	$60	$346.2K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	25	170	1,260	$70	$322.4K

Showing 1–10 of 415

Related Providers

Other providers that share a Tax Identification Number (TIN) with University Hospital & Clinics, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lsuhn Billing LLC	LA	Multi-Specialty Clinic/Center	$0	$45.7M
University Hospital & Clinics, Inc.	LA	Anesthesiology Physician	$0	$12.1M
Laura Kaiser	LA	Adult Health Clinical Nurse Specialist	$5.1M	$0
Wade May	LA	Cardiovascular Disease Physician	$1.8M	$0
Perri Prellop	LA	Radiation Oncology Physician	$450.2K	$0
Michael Leddy	LA	Sports Medicine (Orthopaedic Surgery) Physician	$261.2K	$0
Paul Buzhardt	LA	Adult Reconstructive Orthopaedic Surgery Physician	$228.5K	$0
Matthew Williams	LA	Orthopaedic Surgery Physician	$223.6K	$0
Edward Yerger	LA	Specialist	$218.2K	$0
Kristen Sager	AR	Medical Oncology Physician	$211.6K	$0

Nearby Providers

Other providers in the same ZIP code as University Hospital & Clinics, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Complete Home Health, Inc.	LA	Home Health Agency	$0	$57.4M
Share Care Usa	LA	Developmentally Disabled Services Day Training Agency	$0	$27.4M
Alternative Home Care Specialists, Inc.	LA	Personal Care Attendant	$0	$21.9M
Eckerd Youth Alternatives , Inc. Dba Eckerd Connects	LA	Case Management Agency	$0	$17.7M
Cadence Of Acadiana, Inc.	LA	Case Management Agency	$0	$14.1M
Lafayette Association For Retarded Citizens, Inc.	LA	Respite Care	$0	$12.4M
Aa Angel Care Inc	LA	Early Intervention Provider Agency	$0	$11.8M
Congress Emergency Group LLC	LA	Emergency Medicine Physician	$0	$11.4M
Afnb Home Care LLC	LA	In Home Supportive Care Agency	$0	$6.7M
Lafayette Association For Retarded Citizens, Inc.	LA	Developmentally Disabled Services Day Training Agency	$0	$6.6M

University Hospital & Clinics, Inc. — Billing Profile & Reimbursement Data

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University Hospital & Clinics, Inc. — 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