Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Florida for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Florida only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Florida (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

University Of Miami (NPI 1518917350)

University Of Miami is a anatomic pathology & clinical pathology physician provider located in Miami, Florida. This profile covers 0 Medicare and 344 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	University Of Miami
Address	1611 Nw 12th Ave
City	Miami
State	FL
ZIP	33136
Taxonomy	Anatomic Pathology & Clinical Pathology Physician
NPI Enumerated	May 11, 2006

Payer Source	Total Paid
Medicaid	$7.4M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

344 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	35,330	$40	$1.6M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	255,780	$1	$1M
88307	The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	10,530	$50	$537.1K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	135,210	$1	$405.6K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	21,440	$20	$385.8K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	354,680	$1	$354.7K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	11,570	$20	$277.6K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	13,860	$20	$221.8K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	2,570	$60	$164.3K
82803	The lab analyst performs blood gas analysis to measure at least two of the listed parameters. He typically performs an arterial blood gas analysis, called an ABG, using arterial blood inserted into a…	73,030	$1	$146.1K

Showing 1–10 of 344

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.

Claims Volume vs. Florida Distribution

University Of Miami — 18 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

344 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	41	90	550	$110	$284.8K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	218	320	750	$40	$232.7K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	4	70	500	$30	$231.8K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	9	640	4,400	$10	$193.4K
84520	The lab analyst performs a test to measure the amount of urea nitrogen in patient blood.	273	300	1,170	$60	$186K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	27	70	180	$20	$178K
82310	The lab analyst measures the calcium level, primarily on a serum sample.	132	220	880	$50	$151.3K
87536	A lab tests a patient’s specimen to measure the amount of HIV–1 present. This may be referred to as viral load.	7	30	300	$20	$116K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	34	160	450	$50	$115.7K
86480	The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies.	7	40	170	$20	$114.7K

Showing 1–10 of 344

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Miami Hospital And Clinics	FL	Special Hospital	$0	$62.1M
Michael Morris	MD	Diagnostic Radiology Physician	$12M	$0
Jorge Fortun	FL	Ophthalmology Physician	$3.7M	$0
Jaclyn Kovach	FL	Ophthalmology Physician	$3.1M	$0
Asad Nasir	FL	Nuclear Medicine Physician	$2.2M	$0
Stephen Schwartz	FL	Retina Specialist (Ophthalmology) Physician	$2.1M	$0
Luis Haddock	FL	Ophthalmology Physician	$2.1M	$0
Mahdi Taha	FL	Medical Oncology Physician	$2.1M	$0
Lawrence Singerman	OH	Ophthalmology Physician	$2.1M	$0
Kenneth Fan	TX	Ophthalmology Physician	$2M	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Public Health Trust Of Miami Dade County Florida	FL	General Acute Care Hospital	$0	$79M
Dva Renal Healthcare Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$37.1M
Brave Health Inc.	FL	Community/Behavioral Health Agency	$0	$23M
City Of Miami	FL	Land Ambulance	$1.4M	$8.7M
Action Service Solutions, LLC	FL	Developmental Disabilities Clinic/Center	$0	$7.3M
Amir Baluch	FL	Anesthesiology Physician	$6.4M	$0
Bahram Khazai	FL	Internal Medicine Physician	$4.4M	$0
Marco Gonzalez	FL	Ophthalmology Physician	$3.7M	$0
Travis Snyder	FL	Diagnostic Radiology Physician	$1.1M	$6.5K
Jorge Coll	FL	Internal Medicine Physician	$815.3K	$0

University Of Miami — Billing Profile & Reimbursement Data

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University Of Miami — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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