Medicaid Provider Spending

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

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

NPI: 1386198232 · MIAMI, FL 33155 · Developmental - Behavioral Pediatrics Physician · NPI assigned 08/09/2016

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

Authorized official MESTRE, MARCOS controls 20+ related entities in our dataset. Read more

$6.95M
Total Medicaid Paid
187,919
Total Claims
143,706
Beneficiaries
67
Codes Billed
2018-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMESTRE, MARCOS (SVP)
NPI Enumeration Date08/09/2016

Related Entities

Other providers sharing the same authorized official: MESTRE, MARCOS

ProviderCityStateTotal Paid
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $66.06M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $6.57M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $5.26M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $5.20M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $4.95M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $3.30M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $3.17M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $3.17M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $2.90M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $2.14M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $1.58M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $1.32M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $1.03M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $901K
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $408K
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $269K
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $263K
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $166K
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $133K
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $102K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 43,690 $1.55M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 22,062 18,876 $1.72M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,138 23,592 $1.30M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10,465 9,292 $1.08M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 10,239 8,925 $952K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,412 5,833 $627K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,129 4,394 $477K
90460 Immunization administration through 18 years of age via any route, first or only component 45,718 26,080 $350K
90461 13,098 7,399 $87K
99215 Prolong outpt/office vis 581 533 $85K
90670 2,825 2,482 $72K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,026 938 $66K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,853 1,627 $29K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,965 1,672 $12K
90661 446 424 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,585 1,221 $11K
99245 46 45 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,720 1,543 $10K
90651 1,175 1,072 $9K
81002 3,753 3,103 $6K
85018 4,950 4,053 $5K
90674 778 677 $4K
90734 492 452 $4K
90472 Immunization administration, each additional vaccine (list separately) 438 313 $3K
90686 6,550 5,786 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 438 357 $3K
97803 537 385 $2K
90710 62 49 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 21 19 $2K
90716 668 629 $2K
99383 17 15 $1K
87807 162 145 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 19 13 $1K
90620 104 87 $966.51
99417 Prolong home eval add 15m 204 134 $914.62
90698 771 697 $819.74
96112 16 14 $691.78
90633 1,159 1,057 $530.51
92567 323 296 $497.20
92551 4,056 2,686 $397.54
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $298.75
99205 Prolong outpt/office vis 28 20 $222.23
96127 32 26 $200.89
90697 81 64 $164.00
87081 81 67 $149.63
90619 205 163 $144.14
90685 641 584 $124.71
99080 882 687 $123.57
90707 414 386 $119.49
90681 169 160 $108.76
85025 Blood count; complete (CBC), automated, and automated differential WBC count 45 42 $85.47
99173 4,467 2,948 $76.73
90656 284 252 $73.53
90474 15 13 $59.62
69210 18 16 $54.54
90677 309 268 $40.00
86580 85 80 $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 25 25 $18.82
90744 240 227 $18.50
36416 311 235 $1.61
90715 92 85 $0.00
90655 36 26 $0.00
90700 137 132 $0.00
90713 102 100 $0.00
90648 138 123 $0.00
90658 16 12 $0.00
90688 30 24 $0.00
97802 23 14 $0.00