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

PM Pediatric Care - New York, P.C.

PM Pediatric Care - New York, P.C. was paid $1.08M by Medicaid between May 2023 and Dec 2024, across 11 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 66% of everything it billed.

33Billing provider infoPM PEDIATRIC CARE - NEW YORK, P.C.
NEW HYDE PARK, NY 11042
33aNPI1912614876assigned 11/01/2022
33bProvider typeBehavioral Analyst
28Total paid$1.08M
24GClaims15,578
24DCodes billed11
24AFirst – last monthMay 2023 – Dec 2024
Compared with peers

Next to other Behavioral Analyst providers in New York

Rank by total paid#13 of 47
Median peer was paid$376K
This provider vs. median2.9×

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
20233,221$239K
2024incomplete12,357$843K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 66% 8,040 3,652 $711K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 9.7% 774 773 $105K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 7.2% 1,278 874 $78K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 4.9% 413 389 $53K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 4.9% 405 219 $53K
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 4.3% 501 461 $47K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 1.2% 263 121 $13K
99051 <1% 3,184 1,714 $9K
99484 <1% 202 202 $6K
90785 <1% 438 337 $6K
99417 Prolong home eval add 15m <1% 80 76 $2K

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 (DIRECTOR OF CREDETNIALING/ENROLLMEN)
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 of Bayside PLLCSpring Valley, NY$2.45M
PM Pediatrics PCSyosset, NY$1.83M
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.