Medicaid Provider Spending

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

PM PEDIATRICS OF CALIFORNIA

NPI: 1578030359 · LOS ANGELES, CA 90035 · Pediatrics Physician · NPI assigned 10/30/2018

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

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

$346K
Total Medicaid Paid
27,301
Total Claims
26,388
Beneficiaries
15
Codes Billed
2019-12
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLOPEZ, DANIELLE (MANAGER CREDENTIALING/ENROLLMENT)
NPI Enumeration Date10/30/2018

Related Entities

Other providers sharing the same authorized official: LOPEZ, DANIELLE

ProviderCityStateTotal Paid
PM PEDIATRICS OF BAYSIDE, PLLC BAYSIDE NY $43.78M
NIGHT LITE PEDIATRIC CENTER, LLC ORLANDO FL $38.83M
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 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
2019 17 $0.00
2020 2,496 $39K
2021 9,486 $119K
2022 11,569 $179K
2023 2,188 $6K
2024 1,545 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,624 2,614 $90K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,108 6,947 $78K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,815 3,685 $78K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,346 2,341 $60K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,904 5,734 $33K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 635 317 $3K
99051 1,505 1,474 $2K
99072 2,924 2,845 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 161 160 $471.26
99000 208 205 $110.34
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 13 12 $86.83
J8540 Dexamethasone, oral, 0.25 mg 13 13 $43.32
81003 13 13 $11.68
S9083 Global fee urgent care centers 18 15 $0.00
36415 Collection of venous blood by venipuncture 14 13 $0.00