University of Miami

University of Miami was paid $128K by Medicaid between Aug 2018 and Oct 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.

33Billing provider infoUNIVERSITY OF MIAMI
MIAMI, FL 33136

33aNPI1295786168assigned 05/15/2006

33bProvider typeGastroenterology Physician

28Total paid$128K

24GClaims6,063

24DCodes billed15

24AFirst – last monthAug 2018 – Oct 2024

Compared with peers

Next to other Gastroenterology Physician providers in Florida

Rank by total paid#28 of 166

Median peer was paid$27K

This provider vs. median4.7×

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	77	$2K
2019	876	$20K
2020	812	$11K
2021	1,199	$23K
2022	1,058	$26K
2023	1,422	$32K
2024incomplete	619	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	63%	3,331	2,796	$81K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	12%	639	366	$16K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	12%	383	310	$15K
99222	Initial hospital care, per day, moderate complexity	3.8%	132	98	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.7%	331	275	$5K
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	2.3%	62	51	$3K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	14	12	$1K
99253		<1%	12	12	$702.00
99443		<1%	35	28	$492.72
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	18	13	$388.64
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	36	12	$340.09
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	26	16	$325.44

3 more codes

1220F	<1%	39	$9.47
1111F	<1%	280	$0.33
1126F	<1%	725	$0.05

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 →

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	$1.96M
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

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