Medicaid Provider Spending

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

PM PEDIATRICS OF BAYSIDE, PLLC

NPI: 1861700353 · BAYSIDE, NY 11360 · Urgent Care Clinic/Center · NPI assigned 09/17/2010

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

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

$43.78M
Total Medicaid Paid
350,125
Total Claims
337,472
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, DANIELLE (MANAGER CREDENTIALING/ENROLLMENT)
NPI Enumeration Date09/17/2010

Related Entities

Other providers sharing the same authorized official: LOPEZ, DANIELLE

ProviderCityStateTotal Paid
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 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 23,510 $3.30M
2019 31,132 $4.31M
2020 36,976 $4.47M
2021 72,747 $8.00M
2022 68,888 $8.57M
2023 62,915 $8.13M
2024 53,957 $7.00M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9083 Global fee urgent care centers 107,349 104,309 $13.14M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 89,914 85,180 $12.28M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 80,158 75,925 $10.79M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 37,003 36,848 $4.66M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 19,807 19,776 $2.55M
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 670 669 $91K
99215 Prolong outpt/office vis 658 655 $90K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 692 684 $87K
99051 10,591 10,469 $56K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 334 332 $12K
99205 Prolong outpt/office vis 65 65 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 149 120 $797.50
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 167 167 $405.00
87428 15 15 $373.40
99000 53 53 $0.00
Q4049 Finger splint, static 13 13 $0.00
J3535 Drug administered through a metered dose inhaler 12 12 $0.00
99072 1,663 1,640 $0.00
J7699 Noc drugs, inhalation solution administered through dme 235 226 $0.00
99080 577 314 $0.00