Nicklaus Children's Pediatric Specialists, LLC
Nicklaus Children's Pediatric Specialists, LLC was paid $66.06M by Medicaid between Oct 2018 and Dec 2024, across 12 billing codes. Its largest line is 99284, emergency room visit (serious) — 29% of everything it billed.
MIAMI, FL 33155
Next to other Pediatrics 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 | 11,616 | $999K | |
| 2019 | 116,997 | $10.11M | |
| 2020 | 69,666 | $6.28M | |
| 2021 | 126,716 | $11.43M | |
| 2022 | 195,635 | $15.50M | |
| 2023 | 168,692 | $13.25M | |
| 2024incomplete | 92,525 | $8.50M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 29% | 170,557 | 160,221 | $19.40M |
| 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 | 27% | 250,175 | 217,945 | $17.67M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 18% | 166,208 | 157,607 | $11.69M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 8.4% | 35,664 | 32,263 | $5.57M |
| 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 | 7.7% | 39,152 | 32,625 | $5.09M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.6% | 101,214 | 90,487 | $5.03M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 15,964 | 14,017 | $1.47M |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 2,635 | 2,553 | $121K |
| 01922 | <1% | 40 | 36 | $7K | |
| 99205 | Prolong outpt/office vis | <1% | 61 | 58 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 151 | 125 | $5K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 26 | 26 | $3K |
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.