Medicaid Provider Spending

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

UNIVERSITY OF MIAMI

NPI: 1669423638 · MIAMI, FL 33136 · Endocrinology, Diabetes & Metabolism 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

$519K
Total Medicaid Paid
27,700
Total Claims
22,782
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-11
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 1,614 $8K
2019 5,317 $87K
2020 4,093 $57K
2021 4,426 $87K
2022 3,927 $87K
2023 5,269 $131K
2024 3,054 $62K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,333 12,116 $367K
99232 Subsequent hospital care, per day, moderate complexity 1,598 661 $39K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 408 365 $33K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,877 1,474 $27K
99215 Prolong outpt/office vis 391 333 $16K
99222 Initial hospital care, per day, moderate complexity 234 173 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 326 272 $13K
99233 Prolong inpt eval add15 m 124 41 $3K
99236 Prolong inpt eval add15 m 50 12 $2K
99254 14 12 $1K
99443 89 67 $935.72
99442 124 95 $900.32
83036 Hemoglobin; glycosylated (A1C) 455 379 $685.70
99239 Hospital discharge day management, more than 30 minutes 15 14 $567.68
82962 877 749 $232.04
95251 33 26 $204.36
1126F 5,448 4,877 $180.06
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) 36 30 $138.58
3074F 43 39 $125.00
1220F 185 175 $94.70
36415 Collection of venous blood by venipuncture 207 167 $30.00
1125F 330 273 $18.94
36416 65 55 $2.48
3078F 88 82 $0.08
1111F 334 281 $0.08
3044F 16 14 $0.01