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.

Uofl Health-louisville Inc (NPI 1639711294)

Field	Value
Entity Type	Organization
Organization	Uofl Health-louisville Inc
Address	200 Abraham Flexner Way
City	Louisville
State	KY
ZIP	40202
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 15, 2019

Payer Source	Total Paid
Medicaid	$283.3M
Medicare	$0

Key Findings

Provider has no Medicare billing on file and reports Medicaid revenue of $283.3M, making Medicaid effectively the sole payer in the dataset for this entity; analysts should treat this profile as a Medicaid-focused billing footprint rather than a mixed Medicare/Medicaid operation. The absence of Medicare activity materially limits any cross‑payer comparisons.

Revenue concentration is unusually high in emergency department E/M services: the top three Medicaid codes 99284, 99283, and 99285 together account for 51.1% of this provider's total Medicaid revenue. Individually these codes generate $35.1M (18.2%), $32.6M (16.9%), and $30.8M (16.0%) respectively, indicating that over half of Medicaid dollars flow from moderate‑ to high‑acuity ED visits.

The code mix and volumes point to an operational focus on high ED throughput and acute care services: 99284 (127.6K claims), 99283 (168K claims), and 99285 (83.2K claims) are the top revenue drivers, and observation (G0378, $3.6M) and large volumes of IV administration (96374, 96375, 96361) support an ED‑to‑observation/short‑stay care model. High volumes of imaging (e.g., 74177, 70450) and procedural codes further reinforce that this provider functions as an acute care hospital with substantial on‑site diagnostic and procedural capacity.

Competitive standing within Kentucky is strong across multiple service lines: 99283 ranks #3 of 284 providers in‑state (99th percentile, labeled an "extreme outlier"), 99284 ranks #5 of 282 (99th percentile, "typical, unremarkable" state volume), and 99285 ranks #6 of 239 (98th percentile, "typical, unremarkable"). Beyond ED codes, the provider is a state leader or extreme outlier for many ancillary services — for example 97110 ranks #1 of 776 providers (100th percentile, "extreme outlier") and 87631 ranks #1 of 62 providers (100th percentile, "extreme outlier") — indicating market dominance in several high‑volume diagnostic and therapy categories.

Behavioral health and substance use services comprise a meaningful secondary service line: H0035 (mental health partial hospitalization) produced $9.4M (4.9% of Medicaid revenue) and ranks #2 of 56 providers in‑state (98th percentile, "notably above typical"), while H0015 (intensive outpatient for SUD) generated $2.9M (1.5%) and ranks #11 of 225 (96th percentile). These figures suggest a sizable investment in outpatient/partial hospitalization behavioral health capacity alongside the acute care footprint.

The provider shows advanced imaging and interventional capabilities that support complex inpatient and ED care: CT abdomen/pelvis with contrast 74177 generated $11.2M (5.8%) and ranks #7 of 177 (97th percentile, "notably above typical"), CT head 70450 produced $4.2M (2.2%) and ranks #8 of 183 (96th percentile), and cardiac imaging/interventional codes such as 93306 ($3.9M) and 93458 ($2.6M) are present on the top list. This mix is consistent with a hospital performing high volumes of diagnostic imaging and cardiac procedures for Medicaid patients.

High utilization of IV/infusion and monitoring codes indicates substantial resource use tied to acute medical management: 96374 (102.9K claims, $3.9M) and 96375 (58K claims, $4M) are both labeled "extreme outlier" in state rankings, and 93005 (86.9K claims, $3.7M) and 93005/related monitoring codes show similarly elevated volumes. Coupled with observation billing (G0378, 40.2K claims, $3.6M; ranked #4 of 87, 97th percentile, "extreme outlier"), these patterns point to frequent short‑term medical treatments and monitoring following ED presentation.

The provider’s NPI was enumerated on 2019-10-15 (~7 years ago); despite this relatively recent enumeration date the organization reports very large Medicaid volumes across emergency, imaging, therapy, infusion, and behavioral health codes. For payers and competitors, this implies a rapidly scaled Medicaid presence concentrated in acute and behavioral services that warrants close monitoring for network capacity and contracting decisions.

Medicaid: Complete Services Breakdown

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

584 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.	127,580	$280	$35.1M
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.	168,040	$190	$32.6M
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.	83,230	$370	$30.8M
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.	25,250	$440	$11.2M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	68,410	$140	$9.4M
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.	51,490	$130	$6.5M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	108,020	$40	$4.6M
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	37,180	$120	$4.4M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	15,920	$270	$4.4M
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.	25,560	$160	$4.2M

Showing 1–10 of 584

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

Uofl Health-louisville Inc — 21 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

584 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	67	310	830	$120	$3.7M
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.	5	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.	6	240	4,710	$150	$2.6M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	2	60	3,270	$170	$2.2M
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.	3	280	5,700	$120	$2M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	20	40	740	$1,170	$1.7M
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.	7	180	1,870	$280	$1.5M
G0378	Hospital observation service, per hour	4	90	2,770	$190	$1.3M
C1776	Joint device (implantable)	7	20	130	$2,890	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	33	80	7,740	$30	$1.1M

Showing 1–10 of 584

Nearby Providers

Other providers in the same ZIP code as Uofl Health-louisville Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Norton Hospitals Inc	KY	General Acute Care Hospital	$0	$419.8M
Norton Hospitals, Inc	KY	General Acute Care Hospital	$0	$299.3M
University Medical Center, Inc	KY	General Acute Care Hospital	$0	$179.5M
Verralab Ja LLC	KY	Clinical Medical Laboratory	$304.7K	$38.8M
University Medical Associates	KY	Internal Medicine Physician	$0	$17.3M
Ocean Behavioral Healthcare LLC	KY	Clinical Social Worker	$0	$11.9M
University Emergency Medicine Associates P.s.c.	KY	Emergency Medicine Physician	$0	$11.8M
Recovery Chestnut, LLC	KY	Addiction (Substance Use Disorder) Counselor	$0	$10.9M
Green House Recovery And Rehabilitation Center	KY	Multi-Specialty Clinic/Center	$0	$10.6M
University Of Louisville	KY	General Practice Dentistry	$0	$8.3M

Uofl Health-louisville Inc — Billing Profile & Reimbursement Data

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Uofl Health-louisville 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

Nearby Providers

Frequently Asked Questions

References