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 1639518087)

University Hospital & Clinics, Inc. is a anesthesiology physician provider located in Lafayette, Louisiana. This profile covers 0 Medicare and 115 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 Hospital & Clinics, Inc.
Address	2390 W Congress St
City	Lafayette
State	LA
ZIP	70506
Taxonomy	Anesthesiology Physician
NPI Enumerated	June 19, 2013

Payer Source	Total Paid
Medicaid	$12.1M
Medicare	$0

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

115 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…	143,230	$40	$5.6M
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…	69,620	$30	$2M
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…	13,170	$60	$830K
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…	12,540	$60	$702K
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…	12,790	$50	$588.4K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	7,930	$50	$396.6K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	12,860	$30	$372.8K
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…	3,450	$90	$299.7K
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…	5,780	$40	$214K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	3,220	$50	$154.5K

Showing 1–10 of 115

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. — 11 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

115 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	13	2,890	980	$40	$246.8K
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…	65	3,230	1,120	$30	$204.3K
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…	322	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…	284	750	760	$30	$135.9K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	12	130	560	$30	$128.3K
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,…	17	60	210	$260	$127.2K
46221	In this procedure, the provider ligates, or ties off, the base of a hemorrhoid inside the rectum with a rubber band. The provider performs this procedure to let the hemorrhoid dry out due to a lack…	3	10	590	$110	$124.1K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	44	70	230	$190	$115.1K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	20	40	280	$250	$103.8K
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…	22	1,170	160	$80	$102.7K

Showing 1–10 of 115

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Hospital & Clinics, Inc.	LA	General Acute Care Hospital	$0	$60.9M
Lsuhn Billing LLC	LA	Multi-Specialty Clinic/Center	$0	$45.7M
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

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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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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