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UNIVERSITY OF MIAMI HOSPITAL AND CLINICS

Special Hospital·MIAMI, FL·NPI: 1679660617Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$62.1M

$62,115,522

Total Claims

2.4M

Beneficiaries

1.5M

1.5 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$6.3M
+108%
2019
$13.1M
-34%
2020
$8.6M
+51%
2021
$13.0M
+15%
2022
$15.0M
-68%
2023
$4.9M
-78%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 7% of total spending.

G0463Normal range

Hospital outpatient clinic visit

$4.3M

202K claims · 6.9%

Your Cost: $21.35/claim|Median: $26.41
0.8× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$3.5M

3,152 claims · 5.6%

Your Cost: $1,097.63/claim|Median: $5,391.55
0.2× median
80053Top 25%

Comprehensive metabolic panel

$2.2M

123K claims · 3.5%

Your Cost: $17.72/claim|Median: $7.24
2.4× median
77386Normal range

Intensity modulated radiation treatment delivery, complex

$2.1M

12K claims · 3.4%

Your Cost: $172.37/claim|Median: $260.56
0.7× median
99282Normal range

Emergency dept visit, low complexity

$2.1M

36K claims · 3.3%

Your Cost: $57.49/claim|Median: $37.72
1.5× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$1.7M

16K claims · 2.7%

Your Cost: $104.76/claim|Median: $58.82
1.8× median
97110Top 25%

Therapeutic exercises, each 15 min

$1.4M

34K claims · 2.3%

Your Cost: $41.76/claim|Median: $24.49
1.7× median
J7040Top 5%

Normal saline solution infusion, 500 cc

$1.3M

40K claims · 2.1%

Your Cost: $33.13/claim|Median: $1.11
29.9× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$1.1M

34K claims · 1.8%

Your Cost: $34.01/claim|Median: $75.28
0.5× median
J9144Normal range

$1.0M

1,188 claims · 1.7%

Your Cost: $865.45/claim|Median: $3,253.39
0.3× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$995K

20K claims · 1.6%

Your Cost: $50.89/claim|Median: $9.56
5.3× median
77336Top 10%

$976K

5,678 claims · 1.6%

Your Cost: $171.94/claim|Median: $55.04
3.1× median
J9299Normal range

Nivolumab (Opdivo) injection, 1 mg

$821K

2,607 claims · 1.3%

Your Cost: $314.95/claim|Median: $3,562.28
0.1× median
99285Normal range

Emergency dept visit, high/urgent complexity

$818K

15K claims · 1.3%

Your Cost: $53.39/claim|Median: $85.65
0.6× median
36415Top 5%

Collection of venous blood by venipuncture

$811K

75K claims · 1.3%

Your Cost: $10.75/claim|Median: $1.57
6.8× median
J2505Normal range

$751K

2,925 claims · 1.2%

Your Cost: $256.86/claim|Median: $1,842.27
0.1× median
J7030Top 5%

Normal saline solution infusion, 1000 cc

$744K

20K claims · 1.2%

Your Cost: $37.39/claim|Median: $1.53
24.4× median
78815Normal range

PET imaging for limited area

$719K

6,237 claims · 1.2%

Your Cost: $115.33/claim|Median: $325.10
0.4× median
77412Normal range

$719K

4,686 claims · 1.2%

Your Cost: $153.44/claim|Median: $111.69
1.4× median
A9552Normal range

$662K

6,263 claims · 1.1%

Your Cost: $105.77/claim|Median: $89.01
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$645K

142K claims · 1.0%

Your Cost: $4.56/claim|Median: $4.71
1.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$637K

6,772 claims · 1.0%

Your Cost: $94.13/claim|Median: $54.68
1.7× median
J7050Top 10%

Normal saline solution infusion, 250 cc

$628K

28K claims · 1.0%

Your Cost: $22.72/claim|Median: $0.82
27.7× median
J9035Top 10%

Injection, bevacizumab, 10 mg

$605K

3,292 claims · 1.0%

Your Cost: $183.73/claim|Median: $43.71
4.2× median
Q9967Top 25%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$598K

18K claims · 1.0%

Your Cost: $33.78/claim|Median: $3.42
9.9× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$591K

1,880 claims · 1.0%

Your Cost: $314.58/claim|Median: $1,587.53
0.2× median
G0378Normal range

Hospital observation service, per hour

$574K

14K claims · 0.9%

Your Cost: $42.35/claim|Median: $99.39
0.4× median
99284Normal range

Emergency dept visit, high complexity

$570K

11K claims · 0.9%

Your Cost: $50.16/claim|Median: $69.51
0.7× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$568K

4,077 claims · 0.9%

Your Cost: $139.21/claim|Median: $268.70
0.5× median
A9577Top 25%

$541K

10K claims · 0.9%

Your Cost: $53.73/claim|Median: $8.56
6.3× median
J9306Normal range

Injection, pertuzumab, one milligram

$526K

522 claims · 0.8%

Your Cost: $1,006.76/claim|Median: $3,571.19
0.3× median
96361Normal range

IV infusion, hydration, each additional hour

$501K

11K claims · 0.8%

Your Cost: $44.30/claim|Median: $38.92
1.1× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$494K

12K claims · 0.8%

Your Cost: $41.38/claim|Median: $54.77
0.8× median
J1453Normal range

$488K

8,166 claims · 0.8%

Your Cost: $59.70/claim|Median: $65.90
0.9× median
J0178Normal range

Injection, aflibercept, 1 mg

$474K

6,021 claims · 0.8%

Your Cost: $78.76/claim|Median: $730.09
0.1× median
70553Normal range

MRI brain without contrast, then with contrast

$474K

5,934 claims · 0.8%

Your Cost: $79.91/claim|Median: $133.68
0.6× median
74177Normal range

CT abdomen and pelvis with contrast

$473K

8,942 claims · 0.8%

Your Cost: $52.90/claim|Median: $65.76
0.8× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$434K

13K claims · 0.7%

Your Cost: $34.41/claim|Median: $21.76
1.6× median
J1561Normal range

$418K

1,111 claims · 0.7%

Your Cost: $375.87/claim|Median: $1,482.84
0.3× median
J9355Normal range

Injection, trastuzumab, ten milligrams

$406K

2,298 claims · 0.7%

Your Cost: $176.55/claim|Median: $1,942.13
0.1× median
96402Top 10%

$403K

3,907 claims · 0.6%

Your Cost: $103.21/claim|Median: $20.95
4.9× median
C9257Top 25%

$399K

6,851 claims · 0.6%

Your Cost: $58.29/claim|Median: $22.28
2.6× median
99283Normal range

Emergency dept visit, moderate complexity

$371K

8,416 claims · 0.6%

Your Cost: $44.08/claim|Median: $42.48
1.0× median
J9312Normal range

$365K

1,028 claims · 0.6%

Your Cost: $354.90/claim|Median: $2,705.30
0.1× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$361K

34K claims · 0.6%

Your Cost: $10.65/claim|Median: $14.92
0.7× median
99212Top 10%

Office/outpatient visit, low complexity

$335K

3,846 claims · 0.5%

Your Cost: $87.08/claim|Median: $25.06
3.5× median
31237Top 10%

$331K

459 claims · 0.5%

Your Cost: $720.34/claim|Median: $211.06
3.4× median
92134Normal range

$320K

35K claims · 0.5%

Your Cost: $9.22/claim|Median: $15.46
0.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$312K

23K claims · 0.5%

Your Cost: $13.77/claim|Median: $39.70
0.3× median
77300Normal range

$312K

1,902 claims · 0.5%

Your Cost: $163.96/claim|Median: $87.77
1.9× median

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