Physician
PM Pediatrics of Connecticut
PM Pediatrics of Connecticut was paid $6.32M by Medicaid between Jan 2018 and Dec 2024, across 18 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 CONNECTICUT
WEST HARTFORD, CT 06110
WEST HARTFORD, CT 06110
33aNPI1386158467assigned 11/28/2017
33bProvider typePediatrics Physician
28Total paid$6.32M
24GClaims174,269
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#15 of 162
Median peer was paid$313K
This provider vs. median20×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,850 | $259K | |
| 2019 | 7,271 | $543K | |
| 2020 | 16,003 | $584K | |
| 2021 | 48,101 | $1.40M | |
| 2022 | 37,086 | $1.41M | |
| 2023 | 33,293 | $1.24M | |
| 2024incomplete | 28,665 | $874K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 30,358 | 23,879 | $2.12M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 21% | 19,161 | 15,334 | $1.35M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 30,172 | 23,777 | $1.35M |
| 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 | 17% | 10,570 | 7,962 | $1.09M |
| 99051 | 4.0% | 49,815 | 40,384 | $255K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.4% | 3,369 | 2,732 | $86K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,947 | 3,914 | $37K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,008 | 882 | $18K |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 3,624 | 2,304 | $6K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 746 | 521 | $4K |
| 87428 | <1% | 65 | 17 | $250.65 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 12 | 12 | $233.28 |
6 more codes
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 134 | $8.40 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 146 | $7.07 |
| 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 | <1% | 183 | $4.92 |
| 99000 | 0% | 181 | $0.00 | |
| 99072 | 0% | 18,765 | $0.00 | |
| 81003 | 0% | 13 | $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)
| Provider | Location | 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 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.