Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Miami › NPI 1275583734
Physician

University of Miami

University of Miami was paid $2.43M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 32% of everything it billed.

33Billing provider infoUNIVERSITY OF MIAMI
MIAMI, FL 33136
33aNPI1275583734assigned 05/12/2006
33bProvider typeOphthalmology Physician
28Total paid$2.43M
24GClaims101,530
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Ophthalmology Physician providers in Florida

Rank by total paid#1 of 262
Median peer was paid$9K
This provider vs. median280×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20186,422$52K
201918,962$406K
202014,345$316K
202116,612$365K
202218,670$502K
202317,006$474K
2024incomplete9,513$313K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 32% 20,581 16,541 $782K
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 20% 13,270 10,520 $493K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 15% 9,386 8,093 $356K
67028 Intravitreal injection of a pharmacologic agent 6.6% 8,368 5,678 $161K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 4.2% 8,454 6,310 $103K
92134 3.9% 19,668 15,008 $94K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 3.2% 1,082 650 $77K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3.1% 875 757 $75K
92250 2.8% 5,103 4,233 $67K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.6% 3,449 2,586 $63K
92083 1.4% 3,869 3,009 $33K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.1% 364 314 $27K
26 more codes
99204 Doctor's office visit, new patient (more involved) <1% 239 $16K
99253 <1% 115 $12K
92060 <1% 711 $12K
76512 <1% 320 $11K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 119 $11K
92133 <1% 1,690 $8K
92201 <1% 1,093 $7K
88304 <1% 1,170 $4K
99205 Prolong outpt/office vis <1% 32 $4K
92015 Determination of refractive state <1% 405 $3K
99284 Emergency room visit (serious) <1% 30 $2K
92225 <1% 323 $1K
92018 <1% 16 $1K
76514 <1% 185 $968.31
99203 Doctor's office visit, new patient (routine) <1% 14 $735.69
88313 <1% 184 $664.43
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 57 $638.03
92235 <1% 14 $396.35
92025 <1% 29 $350.28
92136 <1% 20 $223.79
92226 <1% 112 $127.17
99441 <1% 25 $126.26
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 73 $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 <1% 19 $5.84
1126F <1% 43 $0.04
1111F <1% 23 $0.03

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)
Same official

Other billing entities under SANCHEZ, CESIA

Full network →
ProviderLocationPaid
University of MiamiMiami, FL$7.50M
University of MiamiMiami, FL$5.37M
University of MiamiMiami, FL$4.30M
University of MiamiMiami, FL$4.14M
University of MiamiMiami, FL$3.28M
University of MiamiMiami, FL$3.19M
University of MiamiMiami, FL$1.96M
University of MiamiMiami, FL$1.82M
University of MiamiMiami, FL$1.56M
University of MiamiMiami, FL$1.50M
University of MiamiMiami, FL$1.45M
University of MiamiMiami, FL$1.39M
University of MiamiMiami, FL$1.25M
University of MiamiMiami, FL$1.22M
University of MiamiMiami, FL$1.19M
University of MiamiMiami, FL$1.15M
University of MiamiMiami, FL$1.03M
University of MiamiMiami, FL$972K
University of MiamiMiami, FL$851K
University of MiamiMiami, FL$768K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.