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

PM Pediatrics of New England LLC

PM Pediatrics of New England LLC was paid $145K by Medicaid between Nov 2020 and Nov 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.

33Billing provider infoPM PEDIATRICS OF NEW ENGLAND LLC
WOBURN, MA 01801
33aNPI1346871183assigned 01/30/2020
33bProvider typePediatrics Physician
28Total paid$145K
24GClaims2,760
24DCodes billed7
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#338 of 1,273
Median peer was paid$24K
This provider vs. median6.1×

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 LOPEZ, DANIELLE controls 17+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
202013$932.10
202182$4K
2022921$51K
20231,528$80K
2024incomplete216$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 34% 555 538 $49K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 522 510 $32K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17% 296 296 $24K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16% 186 185 $23K
99051 10% 1,032 1,001 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.5% 151 147 $2K
J8540 Dexamethasone, oral, 0.25 mg 0% 18 16 $0.00

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 officialLOPEZ, DANIELLE (MANAGER CREDENTIALING/ENROLLMENT)
Same official

Other billing entities under LOPEZ, DANIELLE

Full network →
ProviderLocationPaid
PM Pediatrics of Bayside, PLLCBayside, NY$43.78M
Night Lite Pediatric Center, LLCOrlando, FL$38.83M
PM Pediatrics of MarylandGreenbelt, MD$33.50M
PM Pediatrics of SeldenSelden, NY$31.91M
PM Pediatrics of ConnecticutWest Hartford, CT$6.32M
PM Pediatrics of PennsylvaniaWayne, PA$5.42M
PM Pediatrics of MamaroneckMamaroneck, NY$3.85M
PM Pediatrics of VirginiaSpringfield, VA$3.13M
PM Pediatrics of Bayside PLLCSpring Valley, NY$2.45M
PM Pediatrics PCSyosset, NY$1.83M
PM Pediatric Care - New York, P.C.New Hyde Park, NY$1.08M
PM Pediatrics of New England LLCDedham, NY$1.02M
PM Pediatrics of CaliforniaLos Angeles, CA$346K
PM Pediatrics of FloridaCoral Springs, FL$253K
PM Pediatrics of Delaware PANewark, DE$161K
PM Pediatrics of New England LLCBraintree, MA$122K
PM Pediatrics of SeldenNorth Babylon, NY$24K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.