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 Hospital And Clinics (NPI 1679660617)

Field	Value
Entity Type	Organization
Organization	University Of Miami Hospital And Clinics
Address	1475 Nw 12th Ave
City	Miami
State	FL
ZIP	33136
Taxonomy	Special Hospital
NPI Enumerated	October 10, 2006

Payer Source	Total Paid
Medicaid	$62.1M
Medicare	$0

Key Findings

This provider is effectively single-payer from the available data: there is no Medicare billing on file and total Medicaid revenue is $62.1M. The organization has an NPI enumerated on 2006-10-10 (~20 years ago), indicating long-standing enrollment in public programs but current activity is concentrated in Medicaid.

Revenue concentration is meaningful: the precomputed top 3 codes account for 31.1% of this provider's total Medicaid revenue. Those top three codes are G0463 ($4.2M, 13.3%), J9271 ($3.5M, 10.9%), and 80053 ($2.2M, 7.0%), which together drive nearly a third of Medicaid receipts.

The code mix indicates a heavy oncology and infusion service line presence. High-revenue drugs and chemotherapy codes appear throughout the top list (J9271, J9144, J9299, J9035, 96413) alongside high-volume infusion supply codes (J7040, J7030, J7050), signaling that systemic cancer therapy and outpatient infusion are major operational activities.

Radiation oncology and advanced imaging are clearly core services: 77386 ($2.1M) and 77336 ($976.6K) appear in the top codes and 77412 and 78815 also rank highly. The presence of complex IMRT delivery codes and PET/CT imaging (78815, A9552) supports a specialized radiation and diagnostic imaging platform.

Ambulatory and emergency throughput is also substantial, anchored by very large outpatient clinic and ED volumes. G0463 (202K claims, ranks #1 of 133; extreme outlier) and ED codes 99282/99285 together with diagnostic lab volume (80053, 85025, 36415) point to a high-volume outpatient intake and diagnostic pipeline that feeds specialty services.

The provider is a dominant in-state competitor for many high-impact codes: multiple top codes rank #1 in Florida (for example G0463 #1 of 133, J9271 #1 of 12, 77386 #1 of 12, J7040 #1 of 119, 96413 #1 of 97), with many listed at the 100th percentile. These rank patterns indicate the provider holds market-leading volumes statewide in oncology, radiation, and infusion-related services.

Key revenue drivers include high-cost biologic agents with substantial average paid amounts per claim; examples in the top list include J9271 ($1098 avg paid/claim), J9144 ($865 avg paid/claim), and J9299 ($315 avg paid/claim). The combination of elevated per-claim payments for specialty drugs and high claim counts magnifies financial exposure to pricing and utilization changes for these medications.

The concentration of revenue in a few service lines and codes (top 3 codes = 31.1% of Medicaid revenue) combined with the absence of Medicare billing suggests financial sensitivity to Medicaid policy or reimbursement shifts for oncology, radiation, and outpatient clinic services. Operationally, sustaining volumes in those specialized areas will be critical to the provider's Medicaid revenue stability.

Medicaid: Complete Services Breakdown

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

648 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	201,950	$20	$4.2M
J9271	Injection, pembrolizumab, 1 mg	3,150	$1,100	$3.5M
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.	123,450	$20	$2.2M
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	12,140	$170	$2.1M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	35,890	$60	$2M
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	16,140	$110	$1.7M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	33,760	$40	$1.4M
J7040	Infusion, normal saline solution, sterile (500 ml = 1 unit)	39,890	$30	$1.3M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	33,570	$30	$1.1M
J9144	Injection, daratumumab, 10 mg and hyaluronidase‑fihj	1,190	$870	$1M

Showing 1–10 of 648

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 Hospital And Clinics — 22 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

648 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	241	700	2,400	$80	$1.2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	206	740	2,180	$70	$1.1M
J9271	Injection, pembrolizumab, 1 mg	1	10	630	$1,300	$977.3K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	5	10	710	$850	$915.3K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	110	660	1,900	$70	$743.6K
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	1	10	1,510	$190	$692.6K
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	40	40	320	$100	$620K
J9144	Injection, daratumumab, 10 mg and hyaluronidase‑fihj	1	10	660	$780	$515.2K
J9306	Injection, pertuzumab, 1 mg	2	10	590	$790	$470.3K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	7	320	1,970	$90	$463.1K

Showing 1–10 of 648

Related Providers

Other providers that share a Tax Identification Number (TIN) with University Of Miami Hospital And Clinics, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Morris	MD	Diagnostic Radiology Physician	$12M	$0
University Of Miami	FL	Anatomic Pathology & Clinical Pathology Physician	$0	$7.4M
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

Nearby Providers

Other providers in the same ZIP code as University Of Miami Hospital And Clinics, ranked by combined Medicare and Medicaid revenue.

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 Hospital And Clinics — Billing Profile & Reimbursement Data

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University Of Miami Hospital And Clinics — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References