Medicaid Provider Spending

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

PM PEDIATRICS OF VIRGINIA

NPI: 1962902650 · SPRINGFIELD, VA 22150 · Pediatrics Physician · NPI assigned 02/19/2018

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

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

$3.13M
Total Medicaid Paid
54,550
Total Claims
50,973
Beneficiaries
20
Codes Billed
2018-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, DANIELLE (MANAGER CREDENTIALING/ENROLLMENT)
NPI Enumeration Date02/19/2018

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 BAYSIDE PLLC SPRING VALLEY NY $2.45M
PM PEDIATRICS PC SYOSSET NY $1.83M
PM PEDIATRIC CARE - NEW YORK, P.C. NEW HYDE PARK NY $1.08M
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
2018 93 $5K
2019 1,677 $83K
2020 5,705 $252K
2021 8,971 $414K
2022 10,748 $663K
2023 15,796 $987K
2024 11,560 $725K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,536 12,740 $1.14M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,373 13,705 $876K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7,313 6,799 $525K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,973 3,814 $431K
S9083 Global fee urgent care centers 1,080 985 $85K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,904 4,747 $65K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 323 156 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 52 52 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 56 51 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 146 121 $1K
99000 413 372 $810.00
87428 14 13 $527.32
J8540 Dexamethasone, oral, 0.25 mg 231 213 $212.12
99051 6,859 5,983 $179.64
96127 13 13 $59.76
99072 776 734 $45.99
81003 14 14 $29.25
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 32 30 $2.41
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 13 13 $1.98
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 429 418 $1.21