Medicaid Provider Spending

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

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

NPI: 1871047712 · MIAMI, FL 33155 · Hospitalist Physician · NPI assigned 08/09/2016

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

Authorized official MESTRE, MARCOS controls 20+ related entities in our dataset. Read more

$4.95M
Total Medicaid Paid
42,986
Total Claims
30,059
Beneficiaries
13
Codes Billed
2018-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMESTRE, MARCOS (SVP)
NPI Enumeration Date08/09/2016

Related Entities

Other providers sharing the same authorized official: MESTRE, MARCOS

ProviderCityStateTotal Paid
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $66.06M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $6.95M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $6.57M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $5.26M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $5.20M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $3.30M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $3.17M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $3.17M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $2.90M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $2.14M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $1.58M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $1.32M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $1.03M
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $901K
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $408K
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $269K
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $263K
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $166K
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $133K
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC MIAMI FL $102K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 611 $93K
2019 8,080 $1.16M
2020 3,298 $400K
2021 4,798 $650K
2022 11,100 $910K
2023 9,388 $984K
2024 5,711 $754K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 18,111 9,959 $1.88M
99222 Initial hospital care, per day, moderate complexity 6,293 5,120 $1.06M
99238 Hospital discharge day management, 30 minutes or less 8,813 7,241 $819K
99219 3,298 2,817 $568K
99217 3,368 2,743 $308K
99239 Hospital discharge day management, more than 30 minutes 1,168 1,056 $153K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,294 686 $88K
99233 Prolong inpt eval add15 m 352 190 $43K
99235 144 113 $23K
99225 77 71 $7K
99221 38 33 $6K
99284 Emergency department visit for the evaluation and management, high severity 18 18 $3K
99283 Emergency department visit for the evaluation and management, moderate severity 12 12 $712.81