Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pediatric Services of America, LLC

Pediatric Services of America, LLC was paid $12.81M by Medicaid between Oct 2020 and Nov 2024, across 5 billing codes. Its largest line is S9124, Nursing care, in the home; by licensed practical nurse, per hour — 63% of everything it billed.

33Billing provider infoPEDIATRIC SERVICES OF AMERICA, LLC
MEDIA, PA 19063
33aNPI1023045218assigned 06/26/2006
33bProvider typeHome Health Agency
28Total paid$12.81M
24GClaims34,852
24DCodes billed5
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers

Next to other Home Health Agency providers in Pennsylvania

Rank by total paid#94 of 404
Median peer was paid$2.66M
This provider vs. median4.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20201,102$422K
20215,861$2.31M
20227,553$3.36M
20237,539$2.97M
2024incomplete12,797$3.76M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9124 Nursing care, in the home; by licensed practical nurse, per hour 63% 18,648 980 $8.09M
T1003 Lpn/lvn services, up to 15 minutes 16% 4,247 210 $2.01M
G0156 Services of home health/hospice aide in home health or hospice settings, each 15 minutes 16% 9,617 458 $1.99M
S9123 Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) 3.8% 1,265 101 $493K
T1019 Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 1.8% 1,075 53 $228K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBUCKHALTER, MATTHEW (CFO)
Same official

Other billing entities under BUCKHALTER, MATTHEW

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.