Nicklaus Children's Pediatric Specialists, LLC
Nicklaus Children's Pediatric Specialists, LLC was paid $4.95M by Medicaid between Dec 2018 and Dec 2024, across 13 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 38% of everything it billed.
MIAMI, FL 33155
Next to other Hospitalist Physician providers in Florida
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 5,711 | $754K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 38% | 18,111 | 9,959 | $1.88M |
| 99222 | Initial hospital care, per day, moderate complexity | 21% | 6,293 | 5,120 | $1.06M |
| 99238 | Hospital discharge day management, 30 minutes or less | 17% | 8,813 | 7,241 | $819K |
| 99219 | 11% | 3,298 | 2,817 | $568K | |
| 99217 | 6.2% | 3,368 | 2,743 | $308K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.1% | 1,168 | 1,056 | $153K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.8% | 1,294 | 686 | $88K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 352 | 190 | $43K |
| 99235 | <1% | 144 | 113 | $23K | |
| 99225 | <1% | 77 | 71 | $7K | |
| 99221 | <1% | 38 | 33 | $6K | |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 18 | 18 | $3K |
1 more codes
| 99283 | Emergency room visit (moderate) | <1% | 12 | $712.81 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.