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University Medical Center, INC

Student in an Organized Health Care Education/Training Program·Louisville, KY·NPI: 1861554438Share
Active Billing Period:2018-01→2024-12(84 months)
Sharp billing drop in final month

Total Paid

$179.4M

$179,414,719

Total Claims

2.4M

Beneficiaries

1.7M

1.4 claims/patient

Avg Cost/Claim

$74

#532 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

University Medical Center, INC is a Student in an Organized Health Care Education/Training Program provider based in Louisville, KY. From the 2018–2024 period, this provider received $179.4M in Medicaid payments across 2.4M claims.

Why This Matters

This provider received $179.4M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 22,426 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 25% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$18.8M
+9%
2019
$20.4M
+18%
2020
$24.0M
+18%
2021
$28.3M
+17%
2022
$33.1M
-5%
2023
$31.4M
-26%
2024
$23.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 16% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$27.9M

59K claims · 15.6%

Your Cost: $470.07/claim|Median: $85.65
5.5× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$19.2M

3K claims · 10.7%

Your Cost: $6,573.66/claim|Median: $5,391.55
1.2× median
99284Top 10%

Emergency dept visit, high complexity

$12.2M

55K claims · 6.8%

Your Cost: $219.38/claim|Median: $69.51
3.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$8.5M

65K claims · 4.8%

Your Cost: $130.55/claim|Median: $42.48
3.1× median
74177Top 10%

CT abdomen and pelvis with contrast

$6.2M

15K claims · 3.4%

Your Cost: $398.03/claim|Median: $65.76
6.0× median
96413Top 5%

Chemotherapy administration, IV infusion, up to 1 hour

$6.1M

17K claims · 3.4%

Your Cost: $364.26/claim|Median: $75.28
4.8× median
J9299Normal range

Nivolumab (Opdivo) injection, 1 mg

$4.2M

981 claims · 2.3%

Your Cost: $4,236.34/claim|Median: $3,562.28
1.2× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$3.4M

28K claims · 1.9%

Your Cost: $122.50/claim|Median: $14.92
8.2× median
99282Top 25%

Emergency dept visit, low complexity

$3.2M

34K claims · 1.8%

Your Cost: $92.54/claim|Median: $37.72
2.5× median
96365Top 10%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$2.9M

16K claims · 1.6%

Your Cost: $181.23/claim|Median: $54.77
3.3× median
70450Top 25%

CT head/brain without contrast

$2.9M

19K claims · 1.6%

Your Cost: $148.87/claim|Median: $45.53
3.3× median
77386Top 10%

Intensity modulated radiation treatment delivery, complex

$2.7M

4K claims · 1.5%

Your Cost: $619.36/claim|Median: $260.56
2.4× median
71260Top 10%

CT chest with contrast

$2.7M

11K claims · 1.5%

Your Cost: $237.49/claim|Median: $48.36
4.9× median
C1713Top 25%

Anchor or screw for tissue to bone fixation

$2.6M

2K claims · 1.4%

Your Cost: $1,157.45/claim|Median: $123.40
9.4× median
G0463Normal range

Hospital outpatient clinic visit

$2.3M

60K claims · 1.3%

Your Cost: $39.06/claim|Median: $26.41
1.5× median
96417Top 1%

$2.2M

4K claims · 1.2%

Your Cost: $604.62/claim|Median: $37.60
16.1× median
72125Top 10%

CT cervical spine without contrast

$2.2M

12K claims · 1.2%

Your Cost: $184.16/claim|Median: $32.30
5.7× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$2.0M

35K claims · 1.1%

Your Cost: $57.77/claim|Median: $21.76
2.6× median
G0378Normal range

Hospital observation service, per hour

$2.0M

43K claims · 1.1%

Your Cost: $46.17/claim|Median: $99.39
0.5× median
70553Top 10%

MRI brain without contrast, then with contrast

$1.9M

3K claims · 1.0%

Your Cost: $573.85/claim|Median: $133.68
4.3× median
45380Top 1%

Colonoscopy with biopsy

$1.9M

1K claims · 1.0%

Your Cost: $1,401.50/claim|Median: $200.68
7.0× median
80053Top 25%

Comprehensive metabolic panel

$1.8M

136K claims · 1.0%

Your Cost: $12.89/claim|Median: $7.24
1.8× median
43239Top 1%

Upper GI endoscopy with biopsy

$1.7M

2K claims · 1.0%

Your Cost: $1,162.60/claim|Median: $151.68
7.7× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1.5M

42K claims · 0.8%

Your Cost: $36.02/claim|Median: $35.43
1.0× median
96415Top 10%

Chemotherapy infusion, each additional hour

$1.3M

4K claims · 0.7%

Your Cost: $346.35/claim|Median: $43.68
7.9× median
96361Normal range

IV infusion, hydration, each additional hour

$1.2M

33K claims · 0.7%

Your Cost: $36.20/claim|Median: $38.92
0.9× median
71045Top 10%

Chest X-ray, single view

$1.1M

27K claims · 0.6%

Your Cost: $42.02/claim|Median: $4.93
8.5× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$1.1M

19K claims · 0.6%

Your Cost: $57.86/claim|Median: $37.56
1.5× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$1.1M

2K claims · 0.6%

Your Cost: $640.05/claim|Median: $470.36
1.4× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$1.0M

6K claims · 0.6%

Your Cost: $183.32/claim|Median: $40.12
4.6× median

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