Medicaid Provider Spending

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

PM PEDIATRICS OF BAYSIDE PLLC

NPI: 1861823197 · SPRING VALLEY, NY 10977 · Pediatric Emergency Medicine (Emergency Medicine) Physician · NPI assigned 12/12/2013

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

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

$2.45M
Total Medicaid Paid
19,594
Total Claims
19,251
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, DANIELLE (MANAGER CREDENTIALING/ENROLLMENT)
NPI Enumeration Date12/12/2013

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 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 268 $41K
2019 331 $50K
2020 1,449 $126K
2021 4,155 $320K
2022 4,520 $617K
2023 5,411 $792K
2024 3,460 $501K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9083 Global fee urgent care centers 14,333 14,067 $2.06M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,310 1,277 $161K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 735 715 $95K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 382 382 $71K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 361 360 $41K
99051 2,060 2,041 $12K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 101 99 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 47 47 $176.25
99072 265 263 $0.00