Medicaid Provider Spending

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

PM PEDIATRICS OF NEW ENGLAND LLC

NPI: 1851828107 · DEDHAM, NY 02026 · Urgent Care Clinic/Center · NPI assigned 05/17/2017

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

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

$1.02M
Total Medicaid Paid
15,990
Total Claims
15,402
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, DANIELLE (MANAGER CREDENTIALING/ENROLLMENT)
NPI Enumeration Date05/17/2017

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 SELDEN SELDEN NY $31.91M
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 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 314 $26K
2019 896 $48K
2020 1,452 $91K
2021 2,167 $195K
2022 4,564 $308K
2023 4,457 $245K
2024 2,140 $108K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,527 3,390 $374K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,763 2,749 $217K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,582 1,576 $192K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,378 3,214 $176K
99051 2,914 2,843 $38K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,007 991 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 298 149 $4K
87428 25 25 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 64 64 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 98 82 $1K
99215 Prolong outpt/office vis 13 13 $1K
J8540 Dexamethasone, oral, 0.25 mg 216 207 $630.65
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 32 31 $323.50
81003 12 12 $23.76
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 26 24 $3.90
99072 35 32 $0.00