Clinic
PM Pediatrics of New England LLC
PM Pediatrics of New England LLC was paid $1.02M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoPM PEDIATRICS OF NEW ENGLAND LLC
DEDHAM, NY 02026
DEDHAM, NY 02026
33aNPI1851828107assigned 05/17/2017
33bProvider typeUrgent Care Clinic/Center
28Total paid$1.02M
24GClaims15,990
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in New York
Rank by total paid#58 of 138
Median peer was paid$576K
This provider vs. median1.8×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 314 | $26K | |
| 2019 | 896 | $48K | |
| 2020 | 1,452 | $91K | |
| 2021 | 2,167 | $195K | |
| 2022 | 4,564 | $308K | |
| 2023 | 4,457 | $245K | |
| 2024incomplete | 2,140 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 37% | 3,527 | 3,390 | $374K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 21% | 2,763 | 2,749 | $217K |
| 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 | 19% | 1,582 | 1,576 | $192K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 3,378 | 3,214 | $176K |
| 99051 | 3.7% | 2,914 | 2,843 | $38K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 1,007 | 991 | $14K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 298 | 149 | $4K |
| 87428 | <1% | 25 | 25 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 64 | 64 | $1K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 98 | 82 | $1K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 13 | 13 | $1K |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 216 | 207 | $630.65 |
4 more codes
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 32 | $323.50 |
| 81003 | <1% | 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 | <1% | 26 | $3.90 |
| 99072 | 0% | 35 | $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)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.