Medicaid Provider Spending

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

PM PEDIATRICS OF NEW ENGLAND LLC

NPI: 1346871183 · WOBURN, MA 01801 · Pediatrics Physician · NPI assigned 01/30/2020

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

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

$145K
Total Medicaid Paid
2,760
Total Claims
2,693
Beneficiaries
7
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLOPEZ, DANIELLE (MANAGER CREDENTIALING/ENROLLMENT)
NPI Enumeration Date01/30/2020

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 MARYLAND GREENBELT MD $33.50M
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 BRAINTREE MA $122K
PM PEDIATRICS OF SELDEN NORTH BABYLON NY $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13 $932.10
2021 82 $4K
2022 921 $51K
2023 1,528 $80K
2024 216 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 555 538 $49K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 522 510 $32K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 296 296 $24K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 186 185 $23K
99051 1,032 1,001 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 151 147 $2K
J8540 Dexamethasone, oral, 0.25 mg 18 16 $0.00