Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

PM Pediatrics of Bayside PLLC

PM Pediatrics of Bayside PLLC was paid $2.45M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is S9083, Global fee urgent care centers — 84% of everything it billed.

33Billing provider infoPM PEDIATRICS OF BAYSIDE PLLC
SPRING VALLEY, NY 10977
33aNPI1861823197assigned 12/12/2013
28Total paid$2.45M
24GClaims19,594
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Emergency Medicine (Emergency Medicine) Physician providers in New York

Rank by total paid#3 of 19
Median peer was paid$4K
This provider vs. median616×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
2018268$41K
2019331$50K
20201,449$126K
20214,155$320K
20224,520$617K
20235,411$792K
2024incomplete3,460$501K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9083 Global fee urgent care centers 84% 14,333 14,067 $2.06M
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 6.6% 1,310 1,277 $161K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.9% 735 715 $95K
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 2.9% 382 382 $71K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.7% 361 360 $41K
99051 <1% 2,060 2,041 $12K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 101 99 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 47 47 $176.25
99072 0% 265 263 $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)
Same official

Other billing entities under LOPEZ, DANIELLE

Full network →
ProviderLocationPaid
PM Pediatrics of Bayside, PLLCBayside, NY$43.78M
Night Lite Pediatric Center, LLCOrlando, FL$38.83M
PM Pediatrics of MarylandGreenbelt, MD$33.50M
PM Pediatrics of SeldenSelden, NY$31.91M
PM Pediatrics of ConnecticutWest Hartford, CT$6.32M
PM Pediatrics of PennsylvaniaWayne, PA$5.42M
PM Pediatrics of MamaroneckMamaroneck, NY$3.85M
PM Pediatrics of VirginiaSpringfield, VA$3.13M
PM Pediatrics PCSyosset, NY$1.83M
PM Pediatric Care - New York, P.C.New Hyde Park, NY$1.08M
PM Pediatrics of New England LLCDedham, NY$1.02M
PM Pediatrics of CaliforniaLos Angeles, CA$346K
PM Pediatrics of FloridaCoral Springs, FL$253K
PM Pediatrics of Delaware PANewark, DE$161K
PM Pediatrics of New England LLCWoburn, MA$145K
PM Pediatrics of New England LLCBraintree, MA$122K
PM Pediatrics of SeldenNorth Babylon, NY$24K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.