Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PEDIATRIC SERVICES OF AMERICA, LLC

NPI: 1023045218 · MEDIA, PA 19063 · Home Health Agency · NPI assigned 06/26/2006

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

Authorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more

$12.81M
Total Medicaid Paid
34,852
Total Claims
1,802
Beneficiaries
5
Codes Billed
2020-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBUCKHALTER, MATTHEW (CFO)
NPI Enumeration Date06/26/2006

Related Entities

Other providers sharing the same authorized official: BUCKHALTER, MATTHEW

ProviderCityStateTotal Paid
MEDCO RESPIRATORY INSTRUMENTS, INC. HOUSTON TX $171.57M
OPTION 1 NUTRITION SOLUTIONS LLC DENVER CO $168.53M
D & D SERVICES INC TULSA OK $119.26M
EPIC HEALTH SERVICES (PA), LLC BALA CYNWYD PA $104.43M
PEDIATRIC SERVICES OF AMERICA, LLC SHELTON CT $92.74M
OPTION 1 NUTRITION SOLUTIONS, LLC CHANDLER AZ $79.18M
PYRA MED HEALTH SERVICES, LLC SAN ANTONIO TX $67.65M
EPIC HEALTH SERVICES INC WORCESTER MA $50.06M
DEPENDABLE NURSES OF PHOENIX, LLC SCOTTSDALE AZ $49.43M
PEDIATRIC SERVICES OF AMERICA, LLC BROCKTON MA $47.84M
EPIC HEALTH SERVICES, INC. HOUSTON TX $41.90M
FIRST CHOICE CHILDRENS HOMECARE LP STAFFORD TX $37.61M
PEDIATRIC SERVICES OF AMERICA, LLC PITTSBURGH PA $34.86M
PEDIATRIC SERVICES OF AMERICA, LLC WINTER PARK FL $33.52M
PEDIATRIC SERVICES OF AMERICA, LLC RALEIGH NC $32.46M
OPTION 1 NORTHWEST ENTERAL LLC KENT WA $32.43M
CARE UNLIMITED INC. WEXFORD PA $32.43M
PEDIATRIC SERVICES OF AMERICA, LLC HARRISBURG PA $31.46M
PEDIATRIC SERVICES OF AMERICA, LLC MCALLEN TX $31.33M
PEDIATRIC SERVICES OF AMERICA, LLC READING PA $30.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,102 $422K
2021 5,861 $2.31M
2022 7,553 $3.36M
2023 7,539 $2.97M
2024 12,797 $3.76M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9124 Nursing care, in the home; by licensed practical nurse, per hour 18,648 980 $8.09M
T1003 Lpn/lvn services, up to 15 minutes 4,247 210 $2.01M
G0156 Services of home health/hospice aide in home health or hospice settings, each 15 minutes 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) 1,265 101 $493K
T1019 Personal 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) 1,075 53 $228K