Nicklaus Children's Pediatric Specialists, LLC
Nicklaus Children's Pediatric Specialists, LLC was paid $3.17M by Medicaid between Nov 2018 and Dec 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
MIAMI, FL 33155
Next to other Child & Adolescent Psychiatry Physician providers in Florida
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 394 | $24K | |
| 2019 | 6,133 | $426K | |
| 2020 | 6,009 | $470K | |
| 2021 | 7,158 | $642K | |
| 2022 | 10,136 | $691K | |
| 2023 | 7,688 | $646K | |
| 2024incomplete | 2,780 | $272K |
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 | 32% | 10,760 | 9,852 | $1.02M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 15% | 8,238 | 3,303 | $483K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 6,027 | 2,676 | $366K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 10% | 3,344 | 2,775 | $326K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.4% | 3,418 | 1,471 | $298K |
| 99223 | Prolong inpt eval add15 m | 7.3% | 1,355 | 1,108 | $233K |
| 99239 | Hospital discharge day management, more than 30 minutes | 6.4% | 2,473 | 2,116 | $203K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 1,397 | 1,185 | $76K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.7% | 381 | 323 | $53K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.2% | 322 | 275 | $38K |
| 99221 | <1% | 196 | 182 | $21K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,111 | 301 | $18K |
5 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 574 | $16K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 132 | $7K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 45 | $4K |
| 90839 | <1% | 501 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 24 | $1K |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.