Medicaid Provider Spending

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

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

NPI: 1619421559 · MIAMI, FL 33155 · Neurological Surgery Physician · NPI assigned 08/09/2016

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

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

$166K
Total Medicaid Paid
2,382
Total Claims
1,895
Beneficiaries
8
Codes Billed
2019-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMESTRE, MARCOS (SVP)
NPI Enumeration Date08/09/2016

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 $2.90M
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 $133K
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $102K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 476 $37K
2020 348 $29K
2021 258 $25K
2022 596 $29K
2023 620 $41K
2024 84 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,202 881 $82K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 731 691 $47K
99232 Subsequent hospital care, per day, moderate complexity 249 137 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 117 107 $14K
99205 Prolong outpt/office vis 12 12 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 28 25 $2K
99215 Prolong outpt/office vis 14 13 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 29 29 $1K