Medicaid Provider Spending

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

PM PEDIATRICS OF SELDEN

NPI: 1790914042 · SELDEN, NY 11784 · Specialist · NPI assigned 07/08/2009

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

Authorized official LOPEZ, DANIELLE controls 17+ related entities in our dataset. Read more

$31.91M
Total Medicaid Paid
238,858
Total Claims
230,537
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, DANIELLE (MANAGER CREDENTIALING/ENROLLMENT)
NPI Enumeration Date07/08/2009

Related Entities

Other providers sharing the same authorized official: LOPEZ, DANIELLE

ProviderCityStateTotal Paid
PM PEDIATRICS OF BAYSIDE, PLLC BAYSIDE NY $43.78M
NIGHT LITE PEDIATRIC CENTER, LLC ORLANDO FL $38.83M
PM PEDIATRICS OF MARYLAND GREENBELT MD $33.50M
PM PEDIATRICS OF CONNECTICUT WEST HARTFORD CT $6.32M
PM PEDIATRICS OF PENNSYLVANIA WAYNE PA $5.42M
PM PEDIATRICS OF MAMARONECK MAMARONECK NY $3.85M
PM PEDIATRICS OF VIRGINIA SPRINGFIELD VA $3.13M
PM PEDIATRICS OF BAYSIDE PLLC SPRING VALLEY NY $2.45M
PM PEDIATRICS PC SYOSSET NY $1.83M
PM PEDIATRIC CARE - NEW YORK, P.C. NEW HYDE PARK NY $1.08M
PM PEDIATRICS OF NEW ENGLAND LLC DEDHAM NY $1.02M
PM PEDIATRICS OF CALIFORNIA LOS ANGELES CA $346K
PM PEDIATRICS OF FLORIDA CORAL SPRINGS FL $253K
PM PEDIATRICS OF DELAWARE PA NEWARK DE $161K
PM PEDIATRICS OF NEW ENGLAND LLC WOBURN MA $145K
PM PEDIATRICS OF NEW ENGLAND LLC BRAINTREE MA $122K
PM PEDIATRICS OF SELDEN NORTH BABYLON NY $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,312 $2.81M
2019 24,291 $3.61M
2020 22,938 $3.20M
2021 42,844 $5.08M
2022 43,437 $5.60M
2023 43,921 $5.98M
2024 43,115 $5.64M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 78,556 74,710 $11.42M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 65,179 62,035 $9.38M
S9083 Global fee urgent care centers 55,125 54,266 $6.75M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 18,870 18,800 $2.56M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12,364 12,344 $1.67M
99215 Prolong outpt/office vis 373 373 $55K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 276 276 $38K
99051 6,034 5,963 $29K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 282 280 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 54 54 $153.75
99072 852 845 $0.00
J7699 Noc drugs, inhalation solution administered through dme 286 280 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 53 53 $0.00
99080 515 219 $0.00
T1013 Sign language or oral interpretive services, per 15 minutes 13 13 $0.00
Q4049 Finger splint, static 14 14 $0.00
99000 12 12 $0.00