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

Why is the Medicaid comparison limited to Colorado 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. Colorado (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 Physicians Incorporated (NPI 1801361811)

Field	Value
Entity Type	Organization
Organization	University Physicians Incorporated
Address	12705 E Montview Blvd Ste 250
City	Aurora
State	CO
ZIP	80045
Taxonomy	Clinical Medical Laboratory
NPI Enumerated	October 5, 2018

Payer Source	Total Paid
Medicare	$10.4K
Medicaid	$3.7K

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
81373	The lab analyst performs the technical lab test for low or intermediate resolution assessment of human leukocyte antigen genes, called HLA, for one Class I locus using molecular techniques.	70	$100	$7.1K
81380	The lab analyst performs the technical lab test for high resolution assessment of human leukocyte antigen genes, called HLA, for one Class I locus using molecular techniques.	10	$170	$1.8K
81376	The lab analyst performs the technical lab test for low or intermediate resolution assessment of human leukocyte antigen genes, called HLA, for one Class II locus using molecular techniques.	20	$100	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

University Physicians Incorporated — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
81373	1	10	70	$100	$7.1K
81380	1	10	10	$170	$1.8K
81376	1	10	20	$100	$1.5K

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
81373	The lab analyst performs the technical lab test for low or intermediate resolution assessment of human leukocyte antigen genes, called HLA, for one Class I locus using molecular techniques.	40	$90	$3.7K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

University Physicians Incorporated — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
81373	The lab analyst performs the technical lab test for low or intermediate resolution assessment of human leukocyte antigen genes, called HLA, for one Class I locus using molecular techniques.	1	10	40	$90	$3.7K

University Physicians Incorporated — Billing Profile & Reimbursement Data

University Physicians Incorporated — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References