Medicaid Provider Spending

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

PEDIATRIX MEDICAL GROUP PC

NPI: 1992728117 · CHARLESTON, WV 25302 · Pediatric Critical Care Medicine Physician · NPI assigned 07/26/2006

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

Authorized official GLASER, NICHOLAS controls 20+ related entities in our dataset. Read more

$3.67M
Total Medicaid Paid
31,787
Total Claims
16,715
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGLASER, NICHOLAS (ASSISTANT SECRETARY)
NPI Enumeration Date07/26/2006

Related Entities

Other providers sharing the same authorized official: GLASER, NICHOLAS

ProviderCityStateTotal Paid
PEDIATRIX MEDICAL GROUP OF THE MID-ATLANTIC PC ROCKVILLE MD $28.34M
PEDIATRIX MEDICAL GROUP OF NORTH CAROLINA PC SUNRISE FL $23.13M
PEDIATRIX MEDICAL GROUP PC WINCHESTER VA $10.80M
PEDIATRIX MEDICAL GROUP OF FLORIDA, INC ORLANDO FL $6.66M
PEDIATRIX MEDICAL GROUP OF FLORIDA INC FORT MYERS FL $2.95M
PEDIATRIX OF MARYLAND PA ROCKVILLE MD $2.64M
PEDIATRIX MEDICAL GROUP OF FLORIDA INC HOLLYWOOD FL $2.63M
PEDIATRIX MEDICAL GROUP OF FLORIDA INC PENSACOLA FL $1.71M
PEDIATRIX MEDICAL GROUP PA PENNINGTON NJ $1.71M
PEDIATRIX MEDICAL GROUP OF FLORIDA, INC LAKELAND FL $1.08M
PEDIATRIX MEDICAL GROUP OF FLORIDA INC BRADENTON FL $941K
PEDIATRIX MEDICAL GROUP OF FLORIDA, INC TALLAHASSEE FL $873K
PEDIATRIX MEDICAL GROUP OF FLORIDA INC FORT MYERS FL $858K
PEDIATRIX MEDICAL GROUP OF FLORIDA INC FORT PIERCE FL $836K
PEDIATRIX MEDICAL GROUP OF FLORIDA INC MELBOURNE FL $589K
PEDIATRIX MEDICAL GROUP OF FLORIDA, INC JACKSONVILLE FL $530K
PEDIATRIX MEDICAL GROUP OF FLORIDA INC LAKELAND FL $509K
PEDIATRIX MEDICAL GROUP OF FLORIDA, INC WINTER HAVEN FL $415K
PEDIATRIX MEDICAL GROUP OF FLORIDA INC TAMPA FL $406K
PEDIATRIX MEDICAL GROUP OF FLORIDA, INC JACKSONVILLE FL $297K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,236 $626K
2019 1,487 $369K
2020 5,655 $777K
2021 5,404 $422K
2022 7,230 $716K
2023 4,520 $380K
2024 4,255 $385K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 3,783 954 $1.07M
99479 Subsequent intensive care, per day, very low birth weight infant 9,847 2,298 $1.05M
99238 Hospital discharge day management, 30 minutes or less 5,997 5,499 $357K
99480 Subsequent intensive care, per day, low birth weight infant 3,266 863 $291K
99460 3,847 3,625 $287K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 938 157 $236K
99468 395 353 $201K
99462 1,908 1,564 $61K
99464 951 888 $40K
99471 79 72 $35K
99239 Hospital discharge day management, more than 30 minutes 256 216 $13K
99477 50 42 $9K
99231 Subsequent hospital care, per day, straightforward or low complexity 328 110 $7K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 81 24 $7K
99465 26 25 $2K
99232 Subsequent hospital care, per day, moderate complexity 35 25 $2K