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

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

Union Associated Physicians Clinic, LLC (NPI 1891028379)

Key Findings

Field	Value
Entity Type	Organization
Organization	Union Associated Physicians Clinic, LLC
Address	221 S 6th St
City	Terre Haute
State	IN
ZIP	47807
Taxonomy	Family Medicine Physician
NPI Enumerated	September 15, 2009

Payer Source	Total Paid
Medicaid	$31.1M
Medicare	$0

This provider is effectively a Medicaid-focused practice with no Medicare billing on file; lifetime Medicaid revenue is $31.1M and total Medicare revenue is listed as none, indicating a single-payer operational footprint in the available data rather than a mixed Medicare/Medicaid practice. Analysts should treat comparisons and trend work as Medicaid-centric because Medicare activity cannot be evaluated from these records.

Revenue is highly concentrated in a small set of codes: the top 3 Medicaid codes by revenue account for 67.1% of the provider's total Medicaid revenue. The dominance of a few codes suggests the clinic’s financial stability is sensitive to utilization changes or reimbursement shifts affecting those specific services.

Primary service lines reflect high-volume outpatient evaluation and management and ambulatory testing. The single largest code is 99213 ($13.1M, 46.5% of Medicaid revenue), followed by 99214 ($4.8M, 16.9%) and 87635 ($1M, 3.7%), which together drive most revenue and indicate a family medicine practice focused on routine established-patient visits with substantial COVID-19 testing throughput.

In-state competitive standing is unusually strong on multiple high-volume codes. The provider ranks #9 of 2377 for 99213 (100th percentile, extreme outlier) and #32 of 2122 for 99214 (99th percentile), signaling it is a major regional provider of routine E/M office visits and an extreme volume outlier relative to peers in Indiana. This scale likely reflects either a large multi-clinician practice or a central clinic serving a large Medicaid population.

The clinic also shows extreme or top-tier testing volumes for common infectious-disease diagnostics: 87635 (SARS–CoV–2 NAAT) ranks #2 of 246 providers in-state (100th percentile, extreme outlier) and 87651 (Strep A NAAT) ranks #1 of 152 providers (100th percentile, extreme outlier). These positions indicate the practice provided exceptionally high volumes of acute respiratory infection testing compared with in-state peers, consistent with a high ambulatory throughput model.

Several ancillary service codes and preventive-care codes are also notable but more typical: 99391 and 99392 preventive codes each contribute about $1M and rank in the 94th percentile, and immunization codes 90471/90472 and pediatric well visits (99393/99394) appear at high but not extreme percentiles. This mix supports a full-spectrum family medicine operation offering well-care, immunizations, and routine visits in addition to high testing volumes.

Procedure and ultrasound volumes include modest-to-high state rankings on obstetric and diagnostic services (e.g., 59425 and 59426 mini-global antepartum codes, 76816/76811 ultrasound codes), which together indicate the practice provides prenatal care and related imaging within its service mix. Those codes show typical to above-typical volumes (mostly 88th–94th percentiles), suggesting a noteworthy but not dominant obstetric component.

The provider has a long tenure in the NPI registry (enumerated 2009-09-15, ~17 years ago), which supports interpreting current high-volume patterns as established operational capacity rather than a short-term surge. Long enumeration combined with extreme percentile rankings on core codes points to sustained, large-scale Medicaid activity rather than a transient reporting anomaly.

Medicaid: Complete Services Breakdown

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

246 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…	257,160	$50	$13.1M
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…	81,990	$60	$4.8M
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	24,810	$40	$1M
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…	12,330	$80	$1M
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…	16,970	$60	$1M
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	14,110	$70	$1M
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…	10,540	$90	$938.3K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	8,570	$70	$634.3K
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…	6,770	$90	$582.3K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	19,390	$30	$504.2K

Showing 1–10 of 246

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Union Associated Physicians Clinic, LLC — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

246 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	4	30	280	$820	$992.2K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	53	100	2,210	$70	$926K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	101	130	3,770	$60	$617.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	349	580	710	$60	$582.9K
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…	32	2,120	870	$60	$450.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	404	690	1,070	$80	$422.3K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	111	140	430	$220	$413.2K
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…	9	2,380	920	$50	$376.8K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	20	160	1,390	$70	$294.8K
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…	18	280	880	$80	$267.2K

Showing 1–10 of 246

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Kentucky	KY	General Acute Care Hospital	$0	$716.8M
Kentucky Medical Services Foundation, Inc	KY	Internal Medicine Physician	$0	$110.4M
Appalachian Regional Healthcare, Inc.	KY	General Acute Care Hospital	$0	$107.9M
University Medical Center Of Southern Nevada	NV	General Acute Care Hospital	$0	$95.5M
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Pediatrix Medical Group Of Texas Billing, Inc.	TX	Neonatal-Perinatal Medicine Physician	$0	$85.3M
Legacy Emanuel Hospital & Health Center	OR	General Acute Care Hospital	$0	$64.2M
Arnot Ogden Medical Center	NY	General Acute Care Hospital	$0	$60.7M
Appalachian Regional Healthcare, Inc.	KY	General Acute Care Hospital	$0	$55.1M
Legacy Emanuel Hospital & Health Center	OR	General Acute Care Hospital	$0	$50.8M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Terre Haute Recovery LLC	IN	Substance Abuse Rehabilitation Facility	$0	$18.5M
Wabash Valley Health Center, Inc.	IN	Federally Qualified Health Center (FQHC)	$0	$5.9M
Valley Professionals Community Health Center Inc	IN	Federally Qualified Health Center (FQHC)	$0	$5M
Hamilton Center, Inc.	IN	Methadone Clinic	$0	$5M
West Central Indiana Economic Development District, Inc	IN	Case Management Agency	$0	$2.9M
Dentistry Just For Kids And Orthodontics, LLC	IN	Pediatric Dentistry	$0	$2.6M
Joshua Hastie	IN	Family Medicine Physician	$99.7K	$447.2K
Vuppala Reddy	IN	Internal Medicine Physician	$516.3K	$0
Millie Kooistra	IN	Family Nurse Practitioner	$414.4K	$0
Chirag Patel	IN	Ophthalmology Physician	$389.9K	$0

Union Associated Physicians Clinic, LLC — Billing Profile & Reimbursement Data

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Union Associated Physicians Clinic, LLC — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References