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

Why is the Medicaid comparison limited to Kentucky 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. Kentucky (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 Kentucky (NPI 1518911338)

Field	Value
Entity Type	Organization
Organization	University Of Kentucky
Address	800 Rose St
City	Lexington
State	KY
ZIP	40536
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 19, 2006

Payer Source	Total Paid
Medicaid	$716.8M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the available data: there is no Medicare billing on file while total Medicaid revenue is $716.8M, so all billed activity in the dataset is concentrated in Medicaid and comparisons must be interpreted in a Medicaid context. The absence of Medicare revenue also prevents benchmarking against national Medicare peers for this NPI.

Revenue is highly concentrated in a few outpatient and ED codes: the top three Medicaid codes (99284, 99285, G0463) together account for 38.8% of total Medicaid revenue, with 99284 at $70.9M (19.2%), 99285 at $43.5M (11.7%), and G0463 at $29.2M (7.9%). That concentration signals that a relatively small set of high‑volume evaluation/management services and hospital outpatient clinic visits drive a large share of Medicaid dollars.

The code mix points to a major emergency and high‑throughput outpatient operation: 99284 has 168K claims and 99285 has 56.3K claims, and 99283 also appears among top codes, indicating heavy ED volume and frequent moderate‑to‑high complexity ED care. Large reported volumes for observation (G0378, 55.7K claims, $13.3M and ranked #1 in‑state) and clinic visits (G0463, 596.5K claims and ranked #1 in‑state) further support that this provider manages substantial short‑stay/observation and ambulatory throughput.

The provider shows a robust oncology program and high utilization of expensive biologics and radiation therapy: J9271 (pembrolizumab) accounts for $29M (rank #1 in‑state), J9299 (nivolumab) $11.4M (rank #1 in‑state), J1745 (infliximab) $9.5M (rank #1 in‑state), and 77386 (IMRT) $14M (rank #1 in‑state). These high per‑claim payments (for example, J9271 avg paid/claim $9689) plus top ranks indicate the provider is a primary in‑state site for immunotherapy infusions and complex radiation delivery.

Advanced imaging and diagnostic services are another dominant revenue stream: 74177 CT abdomen/pelvis ($22.9M, rank #6, 97th percentile), 70553 MRI brain ($10.3M, rank #2, 99th percentile), 71260 CT thorax ($7M, rank #1, 100th percentile), and PET/CT 78815 ($4.9M, rank #1, 100th percentile) all appear in the top codes. Multiple imaging codes are described as extreme outliers or notably above typical state volume, which suggests the provider functions as a regional diagnostic center for advanced imaging.

Basic ambulatory services and diagnostics show very high claim counts consistent with large patient throughput: G0463 596.5K claims, 99211 267.2K claims, 80053 CMP 361K claims, and 93005 ECG 102.7K claims—all of which rank at or near the top for in‑state peers and are labeled as extreme outliers or far above typical state volume. These volumes imply substantial outpatient visit and ancillary testing capacity that supports both routine care and higher‑acuity services.

On statewide competitive standing, the provider is a dominant in‑state player across multiple service lines: numerous top codes are ranked #1 of peers (G0463, J9271, G0378, 71260, 80053, 77386 and others) and many entries list 100th percentile or “extreme outlier” designations. That pattern indicates market leadership in hospital outpatient clinic visits, oncology infusions and radiation, observation services, advanced imaging, and high‑volume labs within Kentucky.

The provider has long tenure in the NPI registry (NPI enumerated 2006-05-19 (~20 years ago)), which, combined with the billing footprint in Medicaid, suggests an established operational presence and sustained Medicaid activity over time. The long enumeration date plus the concentrated, high‑volume Medicaid coding profile reinforces that analysis and contracting discussions should focus on its dominant Medicaid role rather than Medicare performance.

Medicaid: Complete Services Breakdown

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

1220 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.	168,000	$420	$70.9M
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.	56,290	$770	$43.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	596,540	$50	$29.2M
J9271	Injection, pembrolizumab, 1 mg	2,990	$9,690	$29M
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.	28,650	$800	$22.9M
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.	74,550	$280	$20.7M
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	21,970	$640	$14M
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.	267,240	$50	$13.6M
G0378	Hospital observation service, per hour	55,690	$240	$13.3M
J9299	Injection, nivolumab, 1 mg	1,410	$8,090	$11.4M

Showing 1–10 of 1220

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

University Of Kentucky — 23 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

1220 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	46	50	13,600	$140	$11.1M
J9271	Injection, pembrolizumab, 1 mg	1	10	810	$7,760	$8.7M
J1561	Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg	1	10	4,060	$1,770	$7.2M
J9299	Injection, nivolumab, 1 mg	1	10	540	$6,390	$4M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	90	310	830	$120	$3.7M
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	1	10	4,350	$560	$3.3M
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.	4	280	7,150	$150	$3M
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.	12	240	4,710	$150	$2.6M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	1	10	140	$3,650	$2.5M
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	10	70	1,650	$100	$2M

Showing 1–10 of 1220

Related Providers

Other providers that share a Tax Identification Number (TIN) with University Of Kentucky, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kentucky Medical Services Foundation, Inc	KY	Internal Medicine Physician	$0	$110.4M
Union Associated Physicians Clinic, LLC	IN	Family Medicine Physician	$0	$31.1M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Kentucky Medical Services Foundation	KY	Nurse Practitioner	$0	$12.5M
University Of Kentucky	KY	Dentist	$0	$4.3M
Kentucky Medical Services Foundation	KY	Physician Assistant	$0	$3.4M
Kentucky Medical Services Foundation	KY	Pediatrics Physician	$0	$3.3M
John Andriulli	NJ	Cardiovascular Disease Physician	$396.7K	$0
Robert Lavey	KY	Radiation Oncology Physician	$384.3K	$0
Falguni Amin-zimmerman	KY	Radiation Oncology Physician	$378.6K	$0

Nearby Providers

Other providers in the same ZIP code as University Of Kentucky, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Romulo Albuquerque	KY	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Kentucky Medical Services Foundation	KY	Clinical Pathology/Laboratory Medicine Physician	$0	$3M
Jameson Dupree	KY	Ophthalmology Physician	$1.5M	$0
Elena Samoilova	KY	Anatomic Pathology & Clinical Pathology Physician	$110.7K	$974.6K
Sun Yi	KY	Radiation Oncology Physician	$646.6K	$0
Frances Martin	KY	Urology Physician	$532.8K	$0
Andrew Savoie	KY	Physical Medicine & Rehabilitation Physician	$470.2K	$0
Sarah Deraney	KY	Diagnostic Radiology Physician	$302.4K	$0
Samuel Thompson	KY	Internal Medicine Physician	$244.4K	$0
Matthew Luckett	KY	Orthopaedic Surgery Physician	$236.2K	$0

University Of Kentucky — Billing Profile & Reimbursement Data

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University Of Kentucky — 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