Medicaid Provider Spending

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

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

NPI: 1487108320 · MIAMI, FL 33155 · 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

$1.03M
Total Medicaid Paid
8,989
Total Claims
8,144
Beneficiaries
17
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 $6.95M
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 $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 122 $16K
2019 1,932 $278K
2020 1,479 $164K
2021 2,036 $217K
2022 1,848 $220K
2023 1,070 $113K
2024 502 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,551 4,174 $330K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 291 270 $271K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 760 700 $147K
99244 Office or other outpatient consultation, moderate to high complexity 554 511 $110K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 403 381 $65K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 570 528 $55K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 113 108 $18K
99243 70 66 $12K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 76 69 $10K
99215 Prolong outpt/office vis 51 46 $7K
11981 208 184 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 505 431 $3K
99205 Prolong outpt/office vis 18 17 $2K
81025 253 241 $2K
99384 13 12 $446.88
J1050 Injection, medroxyprogesterone acetate, 1 mg 530 391 $145.38
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 23 15 $0.00