Physician
Nicklaus Children's Pediatric Specialists, LLC
Nicklaus Children's Pediatric Specialists, LLC was paid $6.95M by Medicaid between Dec 2018 and Dec 2024, across 67 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoNICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
MIAMI, FL 33155
MIAMI, FL 33155
33aNPI1386198232assigned 08/09/2016
33bProvider typeDevelopmental - Behavioral Pediatrics Physician
28Total paid$6.95M
24GClaims187,919
24DCodes billed67
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Developmental - Behavioral Pediatrics Physician providers in Florida
Rank by total paid#1 of 6
Median peer was paid$111K
This provider vs. median62×
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 MESTRE, MARCOS controls 20+ 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 | 850 | $13K | |
| 2019 | 20,555 | $738K | |
| 2020 | 19,995 | $712K | |
| 2021 | 19,288 | $800K | |
| 2022 | 22,098 | $1.07M | |
| 2023 | 61,443 | $2.06M | |
| 2024incomplete | 43,690 | $1.55M |
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 | 25% | 22,062 | 18,876 | $1.72M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 27,138 | 23,592 | $1.30M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 10,465 | 9,292 | $1.08M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 10,239 | 8,925 | $952K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.0% | 6,412 | 5,833 | $627K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.9% | 5,129 | 4,394 | $477K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.0% | 45,718 | 26,080 | $350K |
| 90461 | 1.2% | 13,098 | 7,399 | $87K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 581 | 533 | $85K |
| 90670 | 1.0% | 2,825 | 2,482 | $72K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 1,026 | 938 | $66K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,853 | 1,627 | $29K |
55 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,965 | $12K |
| 90661 | <1% | 446 | $11K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,585 | $11K |
| 99245 | <1% | 46 | $10K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,720 | $10K |
| 90651 | <1% | 1,175 | $9K | |
| 81002 | <1% | 3,753 | $6K | |
| 85018 | <1% | 4,950 | $5K | |
| 90674 | <1% | 778 | $4K | |
| 90734 | <1% | 492 | $4K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 438 | $3K |
| 90686 | <1% | 6,550 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 438 | $3K |
| 97803 | <1% | 537 | $2K | |
| 90710 | <1% | 62 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 21 | $2K |
| 90716 | <1% | 668 | $2K | |
| 99383 | <1% | 17 | $1K | |
| 87807 | <1% | 162 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 19 | $1K |
| 90620 | <1% | 104 | $966.51 | |
| 99417 | Prolong home eval add 15m | <1% | 204 | $914.62 |
| 90698 | <1% | 771 | $819.74 | |
| 96112 | <1% | 16 | $691.78 | |
| 90633 | <1% | 1,159 | $530.51 | |
| 92567 | <1% | 323 | $497.20 | |
| 92551 | <1% | 4,056 | $397.54 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $298.75 |
| 99205 | Prolong outpt/office vis | <1% | 28 | $222.23 |
| 96127 | <1% | 32 | $200.89 | |
| 90697 | <1% | 81 | $164.00 | |
| 87081 | <1% | 81 | $149.63 | |
| 90619 | <1% | 205 | $144.14 | |
| 90685 | <1% | 641 | $124.71 | |
| 99080 | <1% | 882 | $123.57 | |
| 90707 | <1% | 414 | $119.49 | |
| 90681 | <1% | 169 | $108.76 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 45 | $85.47 |
| 99173 | <1% | 4,467 | $76.73 | |
| 90656 | <1% | 284 | $73.53 | |
| 90474 | <1% | 15 | $59.62 | |
| 69210 | <1% | 18 | $54.54 | |
| 90677 | <1% | 309 | $40.00 | |
| 86580 | <1% | 85 | $24.36 | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 25 | $18.82 |
| 90744 | <1% | 240 | $18.50 | |
| 36416 | <1% | 311 | $1.61 | |
| 90715 | 0% | 92 | $0.00 | |
| 90655 | 0% | 36 | $0.00 | |
| 90700 | 0% | 137 | $0.00 | |
| 90713 | 0% | 102 | $0.00 | |
| 90648 | 0% | 138 | $0.00 | |
| 90658 | 0% | 16 | $0.00 | |
| 90688 | 0% | 30 | $0.00 | |
| 97802 | 0% | 23 | $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 officialMESTRE, MARCOS (SVP)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.