Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Nicklaus Children's Pediatric Specialists, LLC

Nicklaus Children's Pediatric Specialists, LLC was paid $5.26M by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is 70553, Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences — 16% of everything it billed.

33Billing provider infoNICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
MIAMI, FL 33155
33aNPI1063966901assigned 08/09/2016
28Total paid$5.26M
24GClaims363,093
24DCodes billed61
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Radiology Physician providers in Florida

Rank by total paid#1 of 10
Median peer was paid$5K
This provider vs. median1,001×

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 MESTRE, MARCOS controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20185,370$68K
201962,939$938K
202044,678$716K
202161,123$877K
202261,460$901K
202373,330$1.07M
2024incomplete54,193$686K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 16% 8,188 7,461 $822K
76705 Ultrasound, abdominal, real time with image documentation; limited 14% 29,364 25,970 $718K
71046 Radiologic examination, chest; 2 views 13% 76,005 73,041 $708K
70551 Magnetic resonance imaging, brain; without contrast material 8.0% 5,749 5,310 $420K
76775 6.5% 13,499 12,852 $344K
71045 Radiologic examination, chest; single view 5.5% 61,151 29,049 $291K
74018 4.1% 32,490 18,774 $217K
72082 3.7% 14,154 13,592 $196K
74019 2.8% 15,854 15,046 $146K
70450 Computed tomography, head or brain; without contrast material 2.4% 3,190 2,838 $128K
76700 Ultrasound, abdominal, real time with image documentation; complete 2.3% 3,224 3,088 $123K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2.3% 3,508 3,387 $122K
49 more codes
73610 2.2% 14,454 $116K
76536 1.8% 3,668 $94K
73630 1.7% 12,972 $88K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1.4% 1,016 $73K
77072 1.4% 8,972 $72K
73140 1.2% 9,903 $61K
73110 <1% 5,954 $52K
76770 <1% 1,474 $51K
73090 <1% 6,794 $44K
76506 <1% 1,527 $38K
73130 <1% 5,037 $37K
49452 <1% 133 $34K
73564 <1% 2,773 $28K
73070 <1% 4,600 $28K
93976 <1% 756 $27K
76377 <1% 1,352 $24K
72170 <1% 3,212 $23K
73100 <1% 2,817 $20K
73590 <1% 3,031 $18K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 227 $17K
76870 <1% 290 $15K
73560 <1% 1,276 $9K
73521 <1% 717 $8K
74240 <1% 142 $6K
77077 <1% 316 $5K
73080 <1% 462 $4K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 27 $3K
74183 <1% 32 $3K
76885 <1% 107 $3K
73000 <1% 485 $3K
70360 <1% 523 $3K
72197 <1% 44 $3K
76882 <1% 181 $3K
77073 <1% 220 $2K
76942 <1% 97 $2K
64611 <1% 15 $1K
73552 <1% 162 $1K
72156 <1% 13 $1K
76140 <1% 207 $1K
74230 <1% 65 $1K
73565 <1% 147 $856.44
73030 <1% 91 $769.45
99205 Prolong outpt/office vis <1% 198 $743.92
73660 <1% 81 $443.86
72100 <1% 49 $441.43
74241 <1% 13 $423.60
73060 <1% 46 $327.33
70220 <1% 13 $187.24
74455 <1% 26 $121.12

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 officialMESTRE, MARCOS (SVP)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.