Medicaid Provider Spending

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

PM PEDIATRICS OF MARYLAND

NPI: 1306238647 · GREENBELT, MD 20770 · Specialist · NPI assigned 02/24/2015

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

Authorized official LOPEZ, DANIELLE controls 17+ related entities in our dataset. Read more

$33.50M
Total Medicaid Paid
371,120
Total Claims
322,766
Beneficiaries
27
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, DANIELLE (MANAGER CREDENTIALING/ENROLLMENT)
NPI Enumeration Date02/24/2015

Related Entities

Other providers sharing the same authorized official: LOPEZ, DANIELLE

ProviderCityStateTotal Paid
PM PEDIATRICS OF BAYSIDE, PLLC BAYSIDE NY $43.78M
NIGHT LITE PEDIATRIC CENTER, LLC ORLANDO FL $38.83M
PM PEDIATRICS OF SELDEN SELDEN NY $31.91M
PM PEDIATRICS OF CONNECTICUT WEST HARTFORD CT $6.32M
PM PEDIATRICS OF PENNSYLVANIA WAYNE PA $5.42M
PM PEDIATRICS OF MAMARONECK MAMARONECK NY $3.85M
PM PEDIATRICS OF VIRGINIA SPRINGFIELD VA $3.13M
PM PEDIATRICS OF BAYSIDE PLLC SPRING VALLEY NY $2.45M
PM PEDIATRICS PC SYOSSET NY $1.83M
PM PEDIATRIC CARE - NEW YORK, P.C. NEW HYDE PARK NY $1.08M
PM PEDIATRICS OF NEW ENGLAND LLC DEDHAM NY $1.02M
PM PEDIATRICS OF CALIFORNIA LOS ANGELES CA $346K
PM PEDIATRICS OF FLORIDA CORAL SPRINGS FL $253K
PM PEDIATRICS OF DELAWARE PA NEWARK DE $161K
PM PEDIATRICS OF NEW ENGLAND LLC WOBURN MA $145K
PM PEDIATRICS OF NEW ENGLAND LLC BRAINTREE MA $122K
PM PEDIATRICS OF SELDEN NORTH BABYLON NY $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 65,387 $3.02M
2021 67,641 $5.51M
2022 75,976 $8.37M
2023 92,452 $9.19M
2024 69,664 $7.42M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9083 Global fee urgent care centers 127,751 112,478 $13.20M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 88,908 77,700 $8.62M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 90,649 80,674 $7.88M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 34,035 27,344 $2.15M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 17,568 15,028 $1.62M
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 284 177 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,200 1,913 $7K
99215 Prolong outpt/office vis 41 41 $7K
99201 34 31 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 625 477 $3K
87428 209 184 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,120 424 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 624 489 $2K
0071A 26 26 $1K
0072A 16 16 $660.00
J8540 Dexamethasone, oral, 0.25 mg 609 491 $357.76
96127 66 66 $304.81
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 24 13 $125.00
99051 2,853 2,285 $61.50
81003 517 426 $55.45
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 786 726 $16.52
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 377 323 $14.38
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 248 212 $8.97
36415 Collection of venous blood by venipuncture 24 21 $7.20
99000 432 398 $3.68
J3535 Drug administered through a metered dose inhaler 14 13 $0.00
99072 1,080 790 $0.00