ADVANCED PEDIATRIC MANAGEMENT, LLC
NPI: 1003109315
· STUART, FL 34994
· Medically Fragile Infants and Children Day Care
· NPI assigned 05/18/2011
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1025 with only 1 total codes billed. Highly concentrated billing profile.
$1.01M
Total Medicaid Paid
Provider Details
| Authorized Official | DUAH, EVELYN (DIRECTOR/CEO/ADMINISTRATOR) |
| NPI Enumeration Date | 05/18/2011 |
Related Entities
Other providers sharing the same authorized official: DUAH, EVELYN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,968 |
$445K |
| 2019 |
1,859 |
$346K |
| 2022 |
226 |
$14K |
| 2023 |
894 |
$203K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1025 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem |
6,947 |
382 |
$1.01M |