University Physicians Incorporated
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 17 procedure codes: 92004 at 2.0× median, G0483 at 2.3× median.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Compared to Anesthesiology Peers
Total spending distribution among 13 providers in this specialty
This provider's total spending of $190.7M is at the 90th percentile among 13 Anesthesiology providers.
Above 90th percentile for this specialty — higher spending than 11 of 13 peers
Total Paid
$190.7M
$190,650,224
Total Claims
3.2M
Beneficiaries
2.8M
1.2 claims/patient
Avg Cost/Claim
$60
#487 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
University Physicians Incorporated is a Anesthesiology provider based in Aurora, CO. From the 2018–2024 period, this provider received $190.7M in Medicaid payments across 3.2M claims.
Why This Matters
This provider received $190.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 23,831 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 13% of total spending.
$24.1M
256K claims
$94.01
$69.51
Emergency dept visit, high complexity
$24.1M
256K claims · 12.6%
$21.1M
166K claims
$126.56
$85.65
Emergency dept visit, high/urgent complexity
$21.1M
166K claims · 11.1%
$19.6M
228K claims
$85.84
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$19.6M
228K claims · 10.3%
$16.6M
151K claims
$110.32
$74.09
Office/outpatient visit, high complexity
$16.6M
151K claims · 8.7%
$9.5M
188K claims
$50.74
$42.48
Emergency dept visit, moderate complexity
$9.5M
188K claims · 5.0%
$9.0M
150K claims
$59.85
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$9.0M
150K claims · 4.7%
$6.9M
99K claims
$69.28
$35.30
Subsequent hospital care, per day, high complexity
$6.9M
99K claims · 3.6%
$6.7M
49K claims
$136.26
$84.03
Office/outpatient visit, new patient, mod-high complexity
$6.7M
49K claims · 3.5%
$5.7M
15K claims
$390.74
$307.98
Subsequent pediatric critical care, per day, age 2-5
$5.7M
15K claims · 3.0%
$5.5M
60K claims
$91.82
$57.85
Office/outpatient visit, new patient, low-mod complexity
$5.5M
60K claims · 2.9%
Critical care, first 30-74 minutes
$5.1M
29K claims · 2.7%
$4.0M
85K claims
$47.21
$23.99
Subsequent hospital care, per day, moderate complexity
$4.0M
85K claims · 2.1%
$2.6M
48K claims
$53.66
$54.68
Echocardiography, transthoracic, complete, with Doppler
$2.6M
48K claims · 1.3%
$2.3M
293K claims
$7.86
$5.60
Electrocardiogram, interpretation and report only
$2.3M
293K claims · 1.2%
$2.2M
26K claims
$86.66
$69.35
Preventive medicine, established patient, infant (under 1)
$2.2M
26K claims · 1.2%
$2.2M
25K claims
$89.05
$75.18
Preventive medicine, established patient, age 1-4
$2.2M
25K claims · 1.1%
$2.1M
37K claims
$58.45
$65.76
CT abdomen and pelvis with contrast
$2.1M
37K claims · 1.1%
Chest X-ray, single view
$2.0M
208K claims · 1.0%
$1.8M
11K claims
$166.46
$111.09
Office/outpatient visit, new patient, high complexity
$1.8M
11K claims · 0.9%
$1.8M
26K claims
$68.19
$112.83
Echocardiography, transthoracic, limited
$1.8M
26K claims · 0.9%
CT head/brain without contrast
$1.6M
47K claims · 0.9%
$1.6M
4K claims
$353.17
$293.45
Subsequent intensive care, very low birth weight infant
$1.6M
4K claims · 0.8%
$1.5M
17K claims
$90.51
$133.68
MRI brain without contrast, then with contrast
$1.5M
17K claims · 0.8%
Chest X-ray, 2 views
$1.5M
104K claims · 0.8%
$1.5M
18K claims
$81.92
$47.08
Ophthalmological exam, comprehensive, established patient
$1.5M
18K claims · 0.8%
$1.5M
14K claims
$107.92
$98.15
Subsequent intensive care, very low birth weight infant
$1.5M
14K claims · 0.8%
MRI brain without contrast
$1.3M
20K claims · 0.7%
$1.2M
11K claims · 0.6%
$1.1M
9K claims
$121.57
$67.32
Initial hospital care, per day, high complexity
$1.1M
9K claims · 0.6%
$1.0M
9K claims
$108.72
$103.70
Subsequent intensive care, 2,501-5,000 grams
$1.0M
9K claims · 0.5%
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