Medicaid Provider Spending

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

NIGHT LITE PEDIATRIC CENTER, LLC

NPI: 1407974579 · ORLANDO, FL 32839 · Pediatrics Physician · NPI assigned 03/27/2007

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

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

$38.83M
Total Medicaid Paid
707,706
Total Claims
638,420
Beneficiaries
53
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, DANIELLE (MANAGER CREDENTIALING/ENROLLMENT)
NPI Enumeration Date03/27/2007

Related Entities

Other providers sharing the same authorized official: LOPEZ, DANIELLE

ProviderCityStateTotal Paid
PM PEDIATRICS OF BAYSIDE, PLLC BAYSIDE NY $43.78M
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 NEW ENGLAND LLC BRAINTREE MA $122K
PM PEDIATRICS OF SELDEN NORTH BABYLON NY $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 935 $39K
2019 109,994 $5.40M
2020 103,978 $6.37M
2021 195,862 $9.38M
2022 158,783 $6.92M
2023 105,630 $7.77M
2024 32,524 $2.95M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 135,731 125,766 $15.52M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 67,375 63,555 $8.34M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 48,001 44,773 $5.68M
S9083 Global fee urgent care centers 20,288 18,216 $2.66M
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14,377 14,085 $1.99M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15,116 14,643 $1.88M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7,415 6,973 $949K
99050 126,910 121,744 $902K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 60,391 30,056 $382K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 22,383 21,807 $222K
99072 47,564 44,484 $114K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 53,245 50,400 $85K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 55,826 52,736 $31K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 534 453 $18K
91300 997 600 $9K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 575 544 $9K
99421 467 443 $6K
0002A 587 393 $6K
0001A 493 357 $5K
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 1,265 1,074 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,175 3,704 $3K
0071A 191 137 $2K
87807 4,340 4,147 $2K
69210 1,080 988 $2K
0072A 144 97 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,651 2,276 $2K
99000 1,350 1,246 $910.01
81002 1,809 1,694 $753.45
87428 581 444 $526.03
0012A 30 28 $400.00
0011A 30 28 $280.00
69209 47 41 $255.13
J7510 Prednisolone oral, per 5 mg 4,215 3,792 $246.39
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 437 405 $136.20
71046 Radiologic examination, chest; 2 views 507 490 $77.52
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 3,037 2,685 $71.81
91301 39 38 $40.00
94664 599 548 $22.72
73140 24 24 $19.19
86308 77 66 $9.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 676 616 $8.96
J2405 Injection, ondansetron hydrochloride, per 1 mg 627 553 $0.00
99001 461 453 $0.00
73630 13 13 $0.00
73610 13 12 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 202 144 $0.00
91307 300 197 $0.00
87081 29 28 $0.00
A6453 Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard 131 111 $0.00
87086 Culture, bacterial; quantitative colony count, urine 169 149 $0.00
36416 12 12 $0.00
87070 157 140 $0.00
36415 Collection of venous blood by venipuncture 13 12 $0.00