Physician
University of Miami
University of Miami was paid $1.96M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 48% of everything it billed.
33Billing provider infoUNIVERSITY OF MIAMI
MIAMI, FL 33136
MIAMI, FL 33136
33aNPI1003866617assigned 05/12/2006
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$1.96M
24GClaims60,860
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Florida
Rank by total paid#4 of 55
Median peer was paid$37K
This provider vs. median53×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SANCHEZ, CESIA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 7,226 | $175K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 48% | 13,884 | 4,724 | $947K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 25% | 17,635 | 6,048 | $484K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 16% | 9,159 | 3,139 | $309K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.3% | 4,046 | 3,224 | $85K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.4% | 2,688 | 815 | $47K |
| 94618 | <1% | 2,190 | 1,529 | $18K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 216 | 189 | $13K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 252 | 201 | $11K |
| 94726 | <1% | 1,234 | 1,061 | $8K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 94 | 85 | $7K |
| 94010 | <1% | 1,773 | 1,485 | $5K | |
| 94729 | <1% | 2,489 | 2,096 | $5K |
14 more codes
| 94060 | <1% | 594 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 139 | $4K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 278 | $4K |
| 94727 | <1% | 598 | $3K | |
| 99223 | Prolong inpt eval add15 m | <1% | 50 | $2K |
| 95811 | <1% | 16 | $948.47 | |
| 31500 | <1% | 15 | $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) | <1% | 161 | $613.37 |
| 99252 | <1% | 18 | $583.43 | |
| 1126F | <1% | 1,873 | $217.89 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16 | $125.15 |
| 1220F | <1% | 155 | $104.17 | |
| 99152 | <1% | 15 | $43.97 | |
| 1111F | <1% | 1,272 | $1.12 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSANCHEZ, CESIA (PROVIDER ENROLLMENT MANAGER)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.