Medicaid Provider Spending

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

PM PEDIATRICS OF NEW ENGLAND LLC

NPI: 1366108946 · BRAINTREE, MA 02184 · Pediatrics Physician · NPI assigned 11/09/2021

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

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

$122K
Total Medicaid Paid
2,909
Total Claims
2,837
Beneficiaries
6
Codes Billed
2022-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLOPEZ, DANIELLE (MANAGER CREDENTIALING/ENROLLMENT)
Parent OrganizationPM PEDIATRICS OF NEW ENGLAND
NPI Enumeration Date11/09/2021

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 WOBURN MA $145K
PM PEDIATRICS OF SELDEN NORTH BABYLON NY $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 404 $12K
2023 2,330 $104K
2024 175 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 665 643 $34K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 418 404 $32K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 288 288 $22K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 144 143 $18K
99051 1,129 1,095 $13K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 265 264 $4K