Medicaid Provider Spending

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

UNIVERSITY OF MIAMI

NPI: 1275583734 · MIAMI, FL 33136 · Ophthalmology 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

$2.43M
Total Medicaid Paid
101,530
Total Claims
78,950
Beneficiaries
38
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 $1.96M
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 6,422 $52K
2019 18,962 $406K
2020 14,345 $316K
2021 16,612 $365K
2022 18,670 $502K
2023 17,006 $474K
2024 9,513 $313K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 20,581 16,541 $782K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,270 10,520 $493K
99283 Emergency department visit for the evaluation and management, moderate severity 9,386 8,093 $356K
67028 Intravitreal injection of a pharmacologic agent 8,368 5,678 $161K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 8,454 6,310 $103K
92134 19,668 15,008 $94K
99232 Subsequent hospital care, per day, moderate complexity 1,082 650 $77K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 875 757 $75K
92250 5,103 4,233 $67K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,449 2,586 $63K
92083 3,869 3,009 $33K
99215 Prolong outpt/office vis 364 314 $27K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 239 169 $16K
99253 115 90 $12K
92060 711 656 $12K
76512 320 244 $11K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 119 87 $11K
92133 1,690 1,295 $8K
92201 1,093 707 $7K
88304 1,170 790 $4K
99205 Prolong outpt/office vis 32 28 $4K
92015 Determination of refractive state 405 339 $3K
99284 Emergency department visit for the evaluation and management, high severity 30 26 $2K
92225 323 189 $1K
92018 16 13 $1K
76514 185 132 $968.31
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 12 $735.69
88313 184 139 $664.43
99281 Emergency department visit for the evaluation and management, self-limited or minor 57 49 $638.03
92235 14 14 $396.35
92025 29 27 $350.28
92136 20 14 $223.79
92226 112 90 $127.17
99441 25 18 $126.26
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 73 56 $41.20
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 19 13 $5.84
1126F 43 35 $0.04
1111F 23 19 $0.03