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

PM Pediatrics PC

PM Pediatrics PC was paid $1.83M by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.

33Billing provider infoPM PEDIATRICS PC
SYOSSET, NY 11791
33aNPI1730212390assigned 03/13/2007
33bProvider typePediatrics Physician
28Total paid$1.83M
24GClaims13,191
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#183 of 1,983
Median peer was paid$17K
This provider vs. median108×

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$40K$60K2018201920202021202220232024
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
2018877$134K
20191,127$166K
20201,316$194K
20212,639$352K
20222,719$358K
20232,473$348K
2024incomplete2,040$277K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 49% 6,236 5,916 $895K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32% 4,065 3,913 $580K
S9083 Global fee urgent care centers 8.2% 1,276 1,254 $150K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7.5% 1,003 999 $136K
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 3.7% 510 508 $67K
99051 <1% 70 70 $476.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 0% 16 16 $0.00
99072 0% 15 15 $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 Pediatric Care - New York, P.C.New Hyde Park, NY$1.08M
PM Pediatrics of New England LLCDedham, NY$1.02M
PM Pediatrics of CaliforniaLos Angeles, CA$346K
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.