Lab
University of Miami
University of Miami was paid $33K by Medicaid between Jan 2018 and Oct 2019, across 43 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 16% of everything it billed.
33Billing provider infoUNIVERSITY OF MIAMI
MIAMI, FL 33136
MIAMI, FL 33136
33aNPI1922383553assigned 10/14/2011
33bProvider typeClinical Medical Laboratory
28Total paid$33K
24GClaims28,834
24DCodes billed43
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers
Next to other Clinical Medical Laboratory providers in Florida
Rank by total paid#125 of 225
Median peer was paid$74K
This provider vs. median0.5×
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 | 12,145 | $7K | |
| 2019 | 16,689 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 16% | 150 | 119 | $5K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 12% | 1,195 | 1,017 | $4K |
| 88108 | 11% | 383 | 298 | $4K | |
| 84443 | Thyroid stimulating hormone (TSH) | 9.8% | 1,988 | 1,748 | $3K |
| 80053 | Comprehensive metabolic panel | 7.0% | 3,170 | 2,798 | $2K |
| 83970 | 6.6% | 364 | 315 | $2K | |
| 80061 | Lipid panel | 5.2% | 2,246 | 1,976 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 5.1% | 2,561 | 2,256 | $2K |
| 84153 | 3.3% | 499 | 430 | $1K | |
| 82607 | 2.7% | 434 | 380 | $895.53 | |
| 82728 | 2.5% | 422 | 355 | $830.51 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 1.9% | 599 | 503 | $619.21 |
31 more codes
| 81001 | 1.8% | 983 | $589.72 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 1.7% | 711 | $558.20 |
| 85027 | 1.7% | 610 | $556.97 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.7% | 2,078 | $550.80 |
| 87186 | 1.6% | 282 | $541.07 | |
| 84439 | 1.5% | 570 | $500.07 | |
| 82105 | <1% | 61 | $279.31 | |
| 82043 | <1% | 893 | $270.10 | |
| 83550 | <1% | 290 | $231.06 | |
| 86803 | <1% | 30 | $211.40 | |
| 83540 | <1% | 323 | $197.71 | |
| 81003 | <1% | 282 | $186.34 | |
| 85610 | <1% | 756 | $181.25 | |
| 87077 | <1% | 267 | $92.11 | |
| 83735 | <1% | 102 | $84.21 | |
| 80069 | <1% | 269 | $76.41 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 13 | $62.18 |
| 86140 | <1% | 202 | $58.17 | |
| 80076 | <1% | 152 | $51.66 | |
| 85651 | <1% | 134 | $44.96 | |
| 82746 | <1% | 67 | $35.83 | |
| 86038 | <1% | 51 | $27.33 | |
| 84155 | <1% | 148 | $26.42 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,264 | $19.34 |
| 85730 | <1% | 62 | $16.94 | |
| 86706 | <1% | 16 | $15.31 | |
| 84550 | <1% | 123 | $15.17 | |
| 86235 | <1% | 29 | $14.18 | |
| 84480 | <1% | 14 | $7.51 | |
| 87340 | <1% | 24 | $6.93 | |
| 81015 | <1% | 17 | $3.96 |
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)
| 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.