Medicaid Provider Spending

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

PM PEDIATRIC CARE - NEW YORK, P.C.

NPI: 1912614876 · NEW HYDE PARK, NY 11042 · Behavioral Analyst · NPI assigned 11/01/2022

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

Authorized official LOPEZ, DANIELLE controls 17+ related entities in our dataset. Read more

$1.08M
Total Medicaid Paid
15,578
Total Claims
8,818
Beneficiaries
11
Codes Billed
2023-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, DANIELLE (DIRECTOR OF CREDETNIALING/ENROLLMEN)
NPI Enumeration Date11/01/2022

Related Entities

Other providers sharing the same authorized official: LOPEZ, DANIELLE

ProviderCityStateTotal Paid
PM PEDIATRICS OF BAYSIDE, PLLC BAYSIDE NY $43.78M
NIGHT LITE PEDIATRIC CENTER, LLC ORLANDO FL $38.83M
PM PEDIATRICS OF MARYLAND GREENBELT MD $33.50M
PM PEDIATRICS OF SELDEN SELDEN NY $31.91M
PM PEDIATRICS OF CONNECTICUT WEST HARTFORD CT $6.32M
PM PEDIATRICS OF PENNSYLVANIA WAYNE PA $5.42M
PM PEDIATRICS OF MAMARONECK MAMARONECK NY $3.85M
PM PEDIATRICS OF VIRGINIA SPRINGFIELD VA $3.13M
PM PEDIATRICS OF BAYSIDE PLLC SPRING VALLEY NY $2.45M
PM PEDIATRICS PC SYOSSET NY $1.83M
PM PEDIATRICS OF NEW ENGLAND LLC DEDHAM NY $1.02M
PM PEDIATRICS OF CALIFORNIA LOS ANGELES CA $346K
PM PEDIATRICS OF FLORIDA CORAL SPRINGS FL $253K
PM PEDIATRICS OF DELAWARE PA NEWARK DE $161K
PM PEDIATRICS OF NEW ENGLAND LLC WOBURN MA $145K
PM PEDIATRICS OF NEW ENGLAND LLC BRAINTREE MA $122K
PM PEDIATRICS OF SELDEN NORTH BABYLON NY $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 3,221 $239K
2024 12,357 $843K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90834 Psychotherapy, 45 minutes with patient 8,040 3,652 $711K
90791 Psychiatric diagnostic evaluation 774 773 $105K
90832 Psychotherapy, 30 minutes with patient 1,278 874 $78K
99215 Prolong outpt/office vis 413 389 $53K
90837 Psychotherapy, 53 minutes with patient 405 219 $53K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 501 461 $47K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 263 121 $13K
99051 3,184 1,714 $9K
99484 202 202 $6K
90785 438 337 $6K
99417 Prolong home eval add 15m 80 76 $2K