Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

PM Pediatrics of California

PM Pediatrics of California was paid $346K by Medicaid between Dec 2019 and Oct 2024, across 15 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 26% of everything it billed.

33Billing provider infoPM PEDIATRICS OF CALIFORNIA
LOS ANGELES, CA 90035
33aNPI1578030359assigned 10/30/2018
33bProvider typePediatrics Physician
28Total paid$346K
24GClaims27,301
24DCodes billed15
24AFirst – last monthDec 2019 – Oct 2024
Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#286 of 1,490
Median peer was paid$15K
This provider vs. median23×

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.

Entity ProliferationAuthorized official LOPEZ, DANIELLE controls 17+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201917$0.00
20202,496$39K
20219,486$119K
202211,569$179K
20232,188$6K
2024incomplete1,545$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26% 2,624 2,614 $90K
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 23% 7,108 6,947 $78K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 22% 3,815 3,685 $78K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17% 2,346 2,341 $60K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.5% 5,904 5,734 $33K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 635 317 $3K
99051 <1% 1,505 1,474 $2K
99072 <1% 2,924 2,845 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 161 160 $471.26
99000 <1% 208 205 $110.34
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 13 12 $86.83
J8540 Dexamethasone, oral, 0.25 mg <1% 13 13 $43.32
3 more codes
81003 <1% 13 $11.68
S9083 Global fee urgent care centers 0% 18 $0.00
36415 Collection of venous blood by venipuncture 0% 14 $0.00

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.

From NPPES

Who's on the registration

Authorized officialLOPEZ, DANIELLE (MANAGER CREDENTIALING/ENROLLMENT)
Same official

Other billing entities under LOPEZ, DANIELLE

Full network →
ProviderLocationPaid
PM Pediatrics of Bayside, PLLCBayside, NY$43.78M
Night Lite Pediatric Center, LLCOrlando, FL$38.83M
PM Pediatrics of MarylandGreenbelt, MD$33.50M
PM Pediatrics of SeldenSelden, NY$31.91M
PM Pediatrics of ConnecticutWest Hartford, CT$6.32M
PM Pediatrics of PennsylvaniaWayne, PA$5.42M
PM Pediatrics of MamaroneckMamaroneck, NY$3.85M
PM Pediatrics of VirginiaSpringfield, VA$3.13M
PM Pediatrics of Bayside PLLCSpring Valley, NY$2.45M
PM Pediatrics PCSyosset, NY$1.83M
PM Pediatric Care - New York, P.C.New Hyde Park, NY$1.08M
PM Pediatrics of New England LLCDedham, NY$1.02M
PM Pediatrics of FloridaCoral Springs, FL$253K
PM Pediatrics of Delaware PANewark, DE$161K
PM Pediatrics of New England LLCWoburn, MA$145K
PM Pediatrics of New England LLCBraintree, MA$122K
PM Pediatrics of SeldenNorth Babylon, NY$24K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.