Medicaid Provider Spending

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

UNIVERSITY OF MIAMI

NPI: 1295786168 · MIAMI, FL 33136 · Gastroenterology Physician · NPI assigned 05/15/2006

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

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

$128K
Total Medicaid Paid
6,063
Total Claims
4,926
Beneficiaries
15
Codes Billed
2018-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSANCHEZ, CESIA (PROVIDER ENROLLMENT MANAGER)
NPI Enumeration Date05/15/2006

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 $1.96M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 77 $2K
2019 876 $20K
2020 812 $11K
2021 1,199 $23K
2022 1,058 $26K
2023 1,422 $32K
2024 619 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,331 2,796 $81K
99232 Subsequent hospital care, per day, moderate complexity 639 366 $16K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 383 310 $15K
99222 Initial hospital care, per day, moderate complexity 132 98 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 331 275 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 62 51 $3K
45380 Colonoscopy, flexible; with biopsy, single or multiple 14 12 $1K
99253 12 12 $702.00
99443 35 28 $492.72
99215 Prolong outpt/office vis 18 13 $388.64
99233 Prolong inpt eval add15 m 36 12 $340.09
99231 Subsequent hospital care, per day, straightforward or low complexity 26 16 $325.44
1220F 39 38 $9.47
1111F 280 252 $0.33
1126F 725 647 $0.05