Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

NPI: 1285389288 · MIAMI, FL 33155 · Neurological Surgery Physician · NPI assigned 02/17/2022

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MESTRE, MARCOS controls 20+ related entities in our dataset. Read more

$3.30M
Total Medicaid Paid
33,906
Total Claims
30,343
Beneficiaries
24
Codes Billed
2022-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMESTRE, MARCOS (SVP)
NPI Enumeration Date02/17/2022

Related Entities

Other providers sharing the same authorized official: MESTRE, MARCOS

ProviderCityStateTotal Paid
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $66.06M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $6.95M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $6.57M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $5.26M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $5.20M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $4.95M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $3.17M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $3.17M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $2.90M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $2.14M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $1.58M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $1.32M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $1.03M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $901K
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $408K
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $269K
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $263K
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $166K
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $133K
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $102K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 5,683 $544K
2023 18,491 $1.81M
2024 9,732 $949K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18,386 17,093 $1.46M
99215 Prolong outpt/office vis 3,052 2,917 $390K
99205 Prolong outpt/office vis 1,348 1,225 $273K
95720 1,126 789 $241K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,293 1,194 $193K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,963 3,521 $192K
95816 1,106 897 $140K
95810 Polysomnography; sleep staging with 4 or more additional parameters 405 381 $70K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 664 587 $68K
99232 Subsequent hospital care, per day, moderate complexity 989 580 $65K
99223 Prolong inpt eval add15 m 343 259 $54K
95782 211 187 $44K
99233 Prolong inpt eval add15 m 408 220 $40K
99222 Initial hospital care, per day, moderate complexity 177 154 $23K
99255 104 93 $21K
95819 65 51 $6K
95724 16 12 $4K
95812 36 25 $4K
95822 42 39 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 90 67 $3K
99254 16 13 $2K
99221 12 12 $1K
99441 16 14 $148.03
99418 Prolong nursin fac eval 15m 38 13 $43.18