Medicaid Provider Spending

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

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

NPI: 1588063176 · MIAMI, FL 33155 · Pediatrics Physician · NPI assigned 08/19/2014

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

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

$66.06M
Total Medicaid Paid
781,847
Total Claims
707,963
Beneficiaries
12
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMESTRE, MARCOS (SVP)
NPI Enumeration Date08/19/2014

Related Entities

Other providers sharing the same authorized official: MESTRE, MARCOS

ProviderCityStateTotal Paid
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 $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 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
2024 92,525 $8.50M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 170,557 160,221 $19.40M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 250,175 217,945 $17.67M
99283 Emergency department visit for the evaluation and management, moderate severity 166,208 157,607 $11.69M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 35,664 32,263 $5.57M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 39,152 32,625 $5.09M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 101,214 90,487 $5.03M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15,964 14,017 $1.47M
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,635 2,553 $121K
01922 40 36 $7K
99205 Prolong outpt/office vis 61 58 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 151 125 $5K
99215 Prolong outpt/office vis 26 26 $3K