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

Why is the Medicaid comparison limited to Alabama 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. Alabama (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 Alabama Health Services Foundation PC (NPI 1528078219)

Key Findings

Field	Value
Entity Type	Organization
Organization	University Of Alabama Health Services Foundation PC
Address	1700 6th Ave S
City	Birmingham
State	AL
ZIP	35233
Taxonomy	Clinic/Center
NPI Enumerated	August 8, 2006

Payer Source	Total Paid
Medicaid	$18.6M
Medicare	$0

The provider’s Medicaid billing mix is overwhelmingly driven by cardiac imaging and diagnostic procedures, with heavy activity in transthoracic and Doppler echocardiography codes. High-revenue codes such as 93303 (complete transthoracic echo), 93306 (2D transthoracic echo), 93320 (Doppler echo), 93325 (Doppler with color flow mapping), and ECG codes like 93000 and 93010 dominate the record and indicate an operational focus on cardiac imaging services that include both professional and technical components. This concentration of specialized cardiac procedures suggests the entity operates as a high-volume cardiac diagnostics center rather than a general primary-care clinic.

Revenue concentration is pronounced: the top three Medicaid codes—93303 ($6.2M, 33.1%), 93306 ($3.3M, 17.8%), and 99244 ($2M, 10.6%)—account for 61.5% of the provider’s total Medicaid revenue. That reliance on a small set of high-revenue codes underscores that a majority of Medicaid dollars flow from a few complex imaging and consultation services, making those service lines critical to the organization’s financial performance.

On payer mix, the provider is effectively a single-payer Medicaid operation in the available data: there is no Medicare revenue on file while Medicaid totals $18.6M. The absence of Medicare billing suggests exposure to Medicaid policy and rate changes and limited diversification across federal payers, which could concentrate reimbursement risk and contracting leverage with state Medicaid programs.

State-level competitive standing is dominant for multiple cardiac codes: 93303 ranks #1 of 10 (100th percentile; notably above typical state volume) and 93320 ranks #1 of 10 (100th percentile; notably above typical state volume), while 93306 ranks #2 of 111 (99th percentile; labeled an extreme outlier). Additional cardiac and ECG measures—93000 (rank #1 of 129, 100th percentile; extreme outlier), 93325 (rank #1 of 15, 100th percentile; extreme outlier), and 93010 (rank #3 of 173, 99th percentile; extreme outlier)—reinforce that this provider is a major statewide hub for cardiac diagnostics and interpretation.

The absolute claim volumes reported for top procedures indicate very high throughput: 93303 has 29.3K claims, 93306 has 17.7K claims, 93320 has 32.1K claims, and 93010 has 45.9K claims. These large claim counts, paired with both professional and technical components on many codes, imply substantial on-site imaging capacity and likely integrated technical staffing to support continuous cardiac testing and reporting.

The service mix includes significant outpatient consultation and evaluation-management activity alongside the imaging work-up: 99244 generates $2M (10.6% of Medicaid revenue) and 99214 contributes $1.5M (8.0% of Medicaid revenue). This combination of consult-level E/M codes and high-volume diagnostic imaging suggests the provider embeds consultative cardiology visits with immediate access to advanced diagnostic testing, supporting one-stop evaluation workflows for complex cardiac patients.

Multiple codes are flagged as statistical outliers or notably above typical state volume, which signals exceptional relative scale rather than routine participation: 93306 is described as an “extreme outlier,” 93303 and 93320 are “notably above typical,” and ECG-related codes 93000 and 93010 are also described as “extreme outlier” volumes. These characterizations, combined with the provider’s high ranks and percentiles, indicate that it performs far more cardiac diagnostics for Medicaid than typical in-state peers and occupies a top-tier position in those service lines.

The practice has established tenure on file (NPI enumerated 2006-08-08, approximately ~20 years ago), indicating a long-standing operating presence. Coupled with the concentrated cardiac service mix and repeated top-state rankings, the duration of enrollment supports interpreting this entity as an established regional cardiac diagnostics center rather than a new entrant or small-volume clinic.

Medicaid: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	29,340	$210	$6.2M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	17,660	$190	$3.3M
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…	8,880	$220	$2M
93320	The provider performs a complete Doppler echocardiography, which uses high–frequency sound waves to create a two–dimensional image of the heart, while the use of Doppler technology allows…	32,120	$50	$1.6M
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…	10,990	$140	$1.5M
93307	The provider uses transducers to obtain a two–dimensional (2D) echocardiogram of the heart structures through the chest wall. This study includes visualization of heart chambers, valves, blood flow,…	7,540	$110	$791.7K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	31,500	$20	$756K
93325	The provider performs Doppler echocardiography, a diagnostic procedure based on the Doppler effect of sound, color flow velocity mapping, a two–dimensional image representation of blood flow in the…	32,680	$20	$751.7K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	45,940	$10	$597.2K
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…	4,610	$100	$442.5K

Showing 1–10 of 33

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

University Of Alabama Health Services Foundation PC — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	7	10	140	$480	$4.8M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	13	10	1,820	$350	$3.2M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	13	10	3,160	$110	$1.7M
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	1	10	470	$170	$973.4K
93307	The provider uses transducers to obtain a two–dimensional (2D) echocardiogram of the heart structures through the chest wall. This study includes visualization of heart chambers, valves, blood flow,…	1	10	3,780	$100	$394.1K
93320	The provider performs a complete Doppler echocardiography, which uses high–frequency sound waves to create a two–dimensional image of the heart, while the use of Doppler technology allows…	1	10	280	$50	$303.9K
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…	141	1,990	680	$60	$201.7K
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…	4	120	170	$160	$200.7K
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…	157	330	140	$240	$197.4K
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…	693	1,990	560	$40	$185.6K

Showing 1–10 of 33

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Uahsf Neonatology	AL	Neonatal-Perinatal Medicine Physician	$0	$94M
University Of Alabama Health Services Foundation, PC	AL	Pediatrics Physician	$0	$79.6M
University Of Alabama Health Services Foundation, PC.	AL	Multi-Specialty Clinic/Center	$0	$77.1M
University Of Alabama At Birmingham	AL	General Acute Care Hospital	$0	$19.2M
Medical West Hospital Authority, An Affiliate Of Uab Health System	AL	General Acute Care Hospital	$0	$11.4M
University Of Alabama Ophthalmology Services Foundation	AL	Ophthalmology Physician	$0	$6.9M
University Of Alabama At Birmingham	AL	Clinical Medical Laboratory	$2.9K	$3.2M
Chelsea Cockrell	MS	Family Nurse Practitioner	$3M	$0
Jay Glover	TN	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
University Of Alabama At Birmingham	AL	General Acute Care Hospital	$0	$2.7M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	AL	Clinical Medical Laboratory	$60.5M	$289.1M
The Children's Hospital Of Alabama	AL	Children's Hospital	$0	$59M
M&o Enterprises LLC	AL	Home Infusion Therapy Pharmacy	$0	$31.2M
Medical Resources, Inc	AL	Oxygen Equipment & Supplies (DME)	$0	$23.6M
Southern Lab Partners, LLC	AL	Clinical Medical Laboratory	$5.4M	$14.4M
Jefferson County Board Of Health	AL	Public Health or Welfare Agency	$0	$12.2M
The Children's Hospital Of Alabama	AL	Psychologist	$0	$12M
The Children's Hospital Of Alabama	AL	Pediatrics Physician	$0	$7.5M
Pediatric Anesthesia Associates PC	AL	Anesthesiology Physician	$0	$7.2M
Pediatric Radiology Associates PC	AL	Pediatric Radiology Physician	$0	$6.8M

University Of Alabama Health Services Foundation PC — Billing Profile & Reimbursement Data

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University Of Alabama Health Services Foundation PC — 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