Medicaid Provider Spending

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

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

NPI: 1396299244 · MIAMI, FL 33155 · Pediatric Nephrology 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

$901K
Total Medicaid Paid
10,987
Total Claims
9,269
Beneficiaries
16
Codes Billed
2018-12
First Month
2024-11
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 $6.95M
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 $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 128 $7K
2019 1,638 $113K
2020 1,323 $114K
2021 2,268 $207K
2022 1,779 $147K
2023 2,605 $237K
2024 1,246 $76K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 2,619 2,413 $324K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,536 2,379 $253K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,162 1,116 $89K
99233 Prolong inpt eval add15 m 843 310 $82K
99232 Subsequent hospital care, per day, moderate complexity 938 394 $63K
99205 Prolong outpt/office vis 217 194 $39K
99245 72 67 $17K
99244 Office or other outpatient consultation, moderate to high complexity 50 40 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 29 29 $6K
99243 40 37 $6K
99222 Initial hospital care, per day, moderate complexity 30 24 $4K
99223 Prolong inpt eval add15 m 13 13 $3K
81002 2,376 2,202 $2K
99358 Prolong nursin fac eval 15m 30 26 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $2K
99418 Prolong nursin fac eval 15m 20 13 $0.00