Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UNIVERSITY OF MIAMI

NPI: 1003866617 · MIAMI, FL 33136 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 05/12/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SANCHEZ, CESIA controls 20+ related entities in our dataset. Read more

$1.96M
Total Medicaid Paid
60,860
Total Claims
28,991
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSANCHEZ, CESIA (PROVIDER ENROLLMENT MANAGER)
NPI Enumeration Date05/12/2006

Related Entities

Other providers sharing the same authorized official: SANCHEZ, CESIA

ProviderCityStateTotal Paid
UNIVERSITY OF MIAMI MIAMI FL $7.50M
UNIVERSITY OF MIAMI MIAMI FL $5.37M
UNIVERSITY OF MIAMI MIAMI FL $4.30M
UNIVERSITY OF MIAMI MIAMI FL $4.14M
UNIVERSITY OF MIAMI MIAMI FL $3.28M
UNIVERSITY OF MIAMI MIAMI FL $3.19M
UNIVERSITY OF MIAMI MIAMI FL $2.43M
UNIVERSITY OF MIAMI MIAMI FL $1.82M
UNIVERSITY OF MIAMI MIAMI FL $1.56M
UNIVERSITY OF MIAMI MIAMI FL $1.50M
UNIVERSITY OF MIAMI MIAMI FL $1.45M
UNIVERSITY OF MIAMI MIAMI FL $1.39M
UNIVERSITY OF MIAMI MIAMI FL $1.25M
UNIVERSITY OF MIAMI MIAMI FL $1.22M
UNIVERSITY OF MIAMI MIAMI FL $1.19M
UNIVERSITY OF MIAMI MIAMI FL $1.15M
UNIVERSITY OF MIAMI MIAMI FL $1.03M
UNIVERSITY OF MIAMI MIAMI FL $972K
UNIVERSITY OF MIAMI MIAMI FL $851K
UNIVERSITY OF MIAMI MIAMI FL $768K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,604 $63K
2019 10,494 $415K
2020 7,602 $278K
2021 9,283 $288K
2022 11,041 $356K
2023 12,610 $383K
2024 7,226 $175K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 13,884 4,724 $947K
99232 Subsequent hospital care, per day, moderate complexity 17,635 6,048 $484K
99233 Prolong inpt eval add15 m 9,159 3,139 $309K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,046 3,224 $85K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,688 815 $47K
94618 2,190 1,529 $18K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 216 189 $13K
99222 Initial hospital care, per day, moderate complexity 252 201 $11K
94726 1,234 1,061 $8K
95810 Polysomnography; sleep staging with 4 or more additional parameters 94 85 $7K
94010 1,773 1,485 $5K
94729 2,489 2,096 $5K
94060 594 486 $5K
99215 Prolong outpt/office vis 139 101 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 278 217 $4K
94727 598 482 $3K
99223 Prolong inpt eval add15 m 50 41 $2K
95811 16 15 $948.47
31500 15 12 $715.62
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 161 134 $613.37
99252 18 16 $583.43
1126F 1,873 1,630 $217.89
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16 13 $125.15
1220F 155 146 $104.17
99152 15 13 $43.97
1111F 1,272 1,089 $1.12