Medicaid Provider Spending

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

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

NPI: 1417401357 · MIAMI, FL 33155 · Child & Adolescent Psychiatry 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

$3.17M
Total Medicaid Paid
40,298
Total Claims
26,230
Beneficiaries
17
Codes Billed
2018-11
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 $6.95M
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 $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 394 $24K
2019 6,133 $426K
2020 6,009 $470K
2021 7,158 $642K
2022 10,136 $691K
2023 7,688 $646K
2024 2,780 $272K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,760 9,852 $1.02M
90834 Psychotherapy, 45 minutes with patient 8,238 3,303 $483K
99232 Subsequent hospital care, per day, moderate complexity 6,027 2,676 $366K
90791 Psychiatric diagnostic evaluation 3,344 2,775 $326K
99233 Prolong inpt eval add15 m 3,418 1,471 $298K
99223 Prolong inpt eval add15 m 1,355 1,108 $233K
99239 Hospital discharge day management, more than 30 minutes 2,473 2,116 $203K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,397 1,185 $76K
90792 Psychiatric diagnostic evaluation with medical services 381 323 $53K
99222 Initial hospital care, per day, moderate complexity 322 275 $38K
99221 196 182 $21K
90853 Group psychotherapy (other than of a multiple-family group) 1,111 301 $18K
90832 Psychotherapy, 30 minutes with patient 574 283 $16K
99231 Subsequent hospital care, per day, straightforward or low complexity 132 73 $7K
99238 Hospital discharge day management, 30 minutes or less 45 45 $4K
90839 501 238 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 24 24 $1K