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

Why is the Medicaid comparison limited to Texas 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. Texas (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.

Umc Physicians (NPI 1669418547)

Umc Physicians is a family medicine physician provider located in Lubbock, Texas. This profile covers 0 Medicare and 98 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	Umc Physicians
Address	5219 City Bank Pkwy Ste 135
City	Lubbock
State	TX
ZIP	79407
Taxonomy	Family Medicine Physician
NPI Enumerated	June 21, 2006

Payer Source	Total Paid
Medicaid	$11.1M
Medicare	$0

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

98 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	110,120	$40	$4.7M
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…	31,270	$60	$1.8M
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	19,220	$40	$768.8K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	55,610	$10	$722.9K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	11,650	$50	$617.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5,460	$80	$420.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4,000	$80	$328K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	31,860	$10	$318.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,040	$80	$227.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,440	$80	$197.3K

Showing 1–10 of 98

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Umc Physicians — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

98 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	125	150	170	$30	$302.9K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	73	120	310	$220	$302.6K
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…	41	6,040	710	$40	$232.8K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	35	150	150	$280	$213K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	164	1,500	880	$80	$185.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	268	1,360	800	$80	$185.6K
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…	81	5,810	540	$50	$155.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	170	1,540	650	$80	$150.4K
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…	255	410	190	$130	$129.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	213	1,540	360	$80	$110.6K

Showing 1–10 of 98

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ut Physicians	TX	Anesthesiology Physician	$0	$94.4M
Joseph Wolcott	TX	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	$3.1M	$0
Peter Shedden	TX	Neurological Surgery Physician	$429.6K	$0
Floyd Pirtle	TX	Internal Medicine Physician	$227.3K	$0
Larry Warmoth	TX	Nephrology Physician	$210.4K	$0
Mark Soriano	TX	Internal Medicine Physician	$172K	$0
Jeremy Jones	TX	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$156.2K	$0
Benjamin Hirsch	TX	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$115.4K	$0
Mark D'alise	TX	Neurological Surgery Physician	$93.3K	$0
Colin Son	TX	Neurological Surgery Physician	$51.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jason Bradley	TX	Interventional Cardiology Physician	$2.1M	$0
Colbert Perez	TX	Interventional Cardiology Physician	$2M	$0
Manasseh Medical Imaging, Inc	TX	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$1M	$911.2K
Nayankumar Patel	TX	Nephrology Physician	$607.3K	$0
James Fay	TX	Pain Medicine (Anesthesiology) Physician	$381.7K	$0
Ruben Villa	TX	Nephrology Physician	$254.8K	$610
Hemmo Bosscher	TX	Interventional Pain Medicine Physician	$180.2K	$0
Jordan Fultz	TX	Physical Therapist	$145.6K	$0
Mujtaba Mohammed	TX	Diagnostic Radiology Physician	$114.3K	$560
Aubrey Edwards	TX	Physical Therapist	$109.9K	$0

Umc Physicians — 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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