Medicaid Provider Spending

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

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

NPI: 1528512001 · MIAMI, FL 33155 · Pediatric Gastroenterology Physician · NPI assigned 08/12/2016

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

Authorized official MESTRE, MARCOS controls 20+ related entities in our dataset. Read more

$2.90M
Total Medicaid Paid
23,801
Total Claims
22,641
Beneficiaries
12
Codes Billed
2018-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMESTRE, MARCOS (VP)
NPI Enumeration Date08/12/2016

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 $2.14M
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 191 $26K
2019 4,496 $549K
2020 3,664 $384K
2021 4,272 $525K
2022 5,238 $639K
2023 4,371 $562K
2024 1,569 $214K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,601 12,902 $1.37M
99215 Prolong outpt/office vis 3,466 3,288 $487K
99244 Office or other outpatient consultation, moderate to high complexity 1,880 1,828 $392K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,931 1,872 $390K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,150 2,083 $161K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 314 290 $42K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 172 165 $21K
99205 Prolong outpt/office vis 63 62 $13K
99243 71 71 $9K
99233 Prolong inpt eval add15 m 71 25 $6K
99232 Subsequent hospital care, per day, moderate complexity 47 26 $4K
99417 Prolong home eval add 15m 35 29 $0.00