Medicaid Provider Spending

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

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

NPI: 1902350853 · MIAMI, FL 33155 · Pediatric Otolaryngology 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

$5.20M
Total Medicaid Paid
40,283
Total Claims
37,430
Beneficiaries
17
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 $4.95M
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 612 $72K
2019 9,244 $1.30M
2020 4,745 $596K
2021 5,314 $658K
2022 7,082 $819K
2023 8,211 $1.09M
2024 5,075 $670K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99244 Office or other outpatient consultation, moderate to high complexity 6,561 6,335 $1.39M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,125 10,506 $1.14M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,596 4,322 $883K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,992 5,728 $430K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 2,890 2,276 $372K
42820 Tonsillectomy and adenoidectomy; younger than age 12 796 734 $325K
30802 1,583 1,419 $247K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,037 975 $132K
99243 889 865 $131K
42830 455 421 $88K
69210 3,267 2,936 $32K
99245 42 42 $8K
99205 Prolong outpt/office vis 44 37 $7K
30930 724 558 $6K
31575 182 179 $5K
30901 87 85 $3K
99254 13 12 $2K