Medicaid Provider Spending

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

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

NPI: 1982158820 · MIAMI, FL 33155 · Ophthalmology 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

$269K
Total Medicaid Paid
6,939
Total Claims
5,179
Beneficiaries
17
Codes Billed
2018-12
First Month
2024-10
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 $5.20M
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 $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 107 $6K
2019 863 $46K
2020 204 $8K
2021 1,112 $27K
2022 2,820 $122K
2023 1,545 $54K
2024 288 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 837 641 $71K
99215 Prolong outpt/office vis 274 242 $40K
92060 1,458 1,054 $33K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 543 389 $28K
92015 Determination of refractive state 2,812 2,085 $19K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 145 113 $15K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 162 123 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 125 84 $9K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 61 49 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 64 51 $8K
99242 75 61 $7K
92002 83 64 $7K
99243 49 47 $7K
92250 200 134 $2K
99244 Office or other outpatient consultation, moderate to high complexity 13 13 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 17 17 $1K
99232 Subsequent hospital care, per day, moderate complexity 21 12 $789.10