Medicaid Provider Spending

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

FAMILY &PEDIATRIC MEDICAL CENTER INC

NPI: 1972796514 · DORAL, FL 33122 · Adolescent Medicine (Family Medicine) Physician · NPI assigned 08/27/2007

$118K
Total Medicaid Paid
3,656
Total Claims
3,198
Beneficiaries
7
Codes Billed
2018-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLOPEZ, WILSON (PRESIDENT)
NPI Enumeration Date08/27/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 91 $2K
2019 901 $18K
2020 146 $4K
2021 16 $411.27
2022 710 $32K
2023 973 $39K
2024 819 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,017 1,801 $75K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,071 931 $39K
90461 27 24 $2K
3074F 169 157 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 62 56 $252.77
3078F 85 80 $0.00
3008F 225 149 $0.00