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

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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 Pittsburgh Physicians (NPI 1881683100)

Field	Value
Entity Type	Organization
Organization	University Of Pittsburgh Physicians
Address	200 Lothrop St
City	Pittsburgh
State	PA
ZIP	15213
Taxonomy	Specialist
NPI Enumerated	October 19, 2005

Payer Source	Total Paid
Medicaid	$23.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

224 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.	97,890	$80	$7.6M
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.	35,370	$80	$3M
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…	32,730	$40	$1.4M
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…	13,920	$70	$1M
S9083	Global fee urgent care centers	8,160	$90	$709.7K
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.	15,100	$50	$709.7K
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.	9,190	$80	$689.3K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	69,360	$10	$554.8K
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…	4,060	$130	$520.2K
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…	5,590	$80	$430.6K

Showing 1–10 of 224

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

University Of Pittsburgh Physicians — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

224 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9012	Other specified case management service not elsewhere classified	247	320	770	$260	$758K
J7298	Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg	4	20	100	$680	$589.6K
S9083	Global fee urgent care centers	52	400	360	$110	$571.8K
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.	7	1,600	270	$120	$409.7K
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.	409	1,060	150	$130	$405.4K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	6	30	180	$570	$331.3K
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.	16	1,230	250	$130	$284K
J0585	Injection, onabotulinumtoxina, 1 unit	29	30	270	$330	$220.4K
95782	A patient under the age of 6 undergoes an attended sleep study with identification of sleep levels and at least four additional sleep parameters.	15	20	400	$550	$208K
95941	A provider other than the surgeon or anesthesia staff conducts neurophysiology tests, such as electroncephalography or EEG, electromyography or EMG, evoked potentials or nerve conduction study, to…	3	10	260	$620	$192.4K

Showing 1–10 of 224

Related Providers

Other providers that share a Tax Identification Number (TIN) with University Of Pittsburgh Physicians, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Louisiana State University School Of Med In New Orleans Faculty Grou	LA	Pediatrics Physician	$0	$43M
University Of Pittsburgh Physicians	PA	Psychiatry Physician	$0	$26.4M
Ashok Muthukrishnan	FL	Nuclear Radiology Physician	$3.9M	$129.2K
Daniel Delo	NC	Rheumatology Physician	$2.8M	$0
Vimala Ramesh	PA	Anesthesiology Physician	$57.8K	$2.2M
Medical Foundation, Inc.	MS	Geriatric Medicine (Family Medicine) Physician	$0	$1.8M
Pamela Rath	PA	Ophthalmology Physician	$1.7M	$17.7K
Christopher Hodge	MA	Anesthesiology Physician	$109.9K	$1.6M
Charles Luke	PA	Anesthesiology Physician	$59.3K	$1.6M
Monica Mohile	PA	Rheumatology Physician	$1.4M	$0

Nearby Providers

Other providers in the same ZIP code as University Of Pittsburgh Physicians, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Upmc Presbyterian Shadyside	PA	General Acute Care Hospital	$0	$125.5M
Upmc Magee-womens Hospital	PA	General Acute Care Hospital	$0	$43M
Upmc Presbyterian Shadyside	PA	Methadone Clinic	$165.7K	$5.9M
Shyam Kodati	PA	Ophthalmology Physician	$1.1M	$0
Sandeep Sharma	PA	Nephrology Physician	$900.7K	$0
Badreddine Bencherif	PA	Specialist	$560.6K	$0
Ashima Lall	PA	Diagnostic Radiology Physician	$518.1K	$41.5K
Andrew Eller	PA	Specialist	$509.8K	$290
S. Kreps	PA	Child & Adolescent Psychiatry Physician	$39.8K	$462.6K
Geetha Jeyabalan	PA	Surgery Physician	$370.3K	$0

University Of Pittsburgh Physicians — Billing Profile & Reimbursement Data

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University Of Pittsburgh 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

Related Providers

Nearby Providers

Frequently Asked Questions

References