Physician
University of Miami
University of Miami was paid $1.82M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99460, — 20% of everything it billed.
33Billing provider infoUNIVERSITY OF MIAMI
MIAMI, FL 33136
MIAMI, FL 33136
33aNPI1972554442assigned 05/12/2006
33bProvider typeDevelopmental - Behavioral Pediatrics Physician
28Total paid$1.82M
24GClaims37,846
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Developmental - Behavioral Pediatrics Physician providers in Florida
Rank by total paid#3 of 6
Median peer was paid$111K
This provider vs. median16×
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 | 1,624 | $43K | |
| 2019 | 3,911 | $166K | |
| 2020 | 2,994 | $111K | |
| 2021 | 4,407 | $192K | |
| 2022 | 6,557 | $316K | |
| 2023 | 10,661 | $588K | |
| 2024incomplete | 7,692 | $405K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99460 | 20% | 6,824 | 6,445 | $361K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 7,503 | 7,226 | $276K |
| 99462 | 13% | 8,580 | 6,202 | $238K | |
| 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 | 12% | 3,894 | 3,762 | $223K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.8% | 2,076 | 1,856 | $141K |
| 99238 | Hospital discharge day management, 30 minutes or less | 7.1% | 2,409 | 2,237 | $130K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.0% | 1,577 | 1,549 | $128K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.1% | 778 | 682 | $93K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 536 | 525 | $44K |
| 99219 | 2.4% | 401 | 384 | $44K | |
| 99235 | 2.0% | 276 | 255 | $36K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.9% | 598 | 258 | $34K |
16 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.3% | 1,249 | $24K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 148 | $14K |
| 99217 | <1% | 134 | $9K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 87 | $7K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 54 | $5K |
| 99381 | <1% | 66 | $3K | |
| 99223 | Prolong inpt eval add15 m | <1% | 16 | $3K |
| 99218 | <1% | 22 | $2K | |
| 99220 | <1% | 13 | $2K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 18 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $596.95 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 40 | $328.27 |
| 85018 | <1% | 120 | $141.24 | |
| 1111F | <1% | 371 | $0.44 | |
| 90656 | 0% | 29 | $0.00 | |
| 90686 | 0% | 13 | $0.00 |
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 | $1.56M |
| 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 |
| University of Miami | Miami, FL | $768K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.