PEDIATRIC HEALTH CHOICE
NPI: 1023468162
· ST PETERSBURG, FL 33710
· Medically Fragile Infants and Children Day Care
· NPI assigned 06/20/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code T1025 with only 2 total codes billed. Highly concentrated billing profile.
$1.38M
Total Medicaid Paid
Provider Details
| Authorized Official | FRAZE, DEBORAH (EXECUTIVE VP) |
| Parent Organization | PRESCRIBED PEDIATRIC EXTENDED CARE INC |
| NPI Enumeration Date | 06/20/2016 |
Related Entities
Other providers sharing the same authorized official: FRAZE, DEBORAH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
2,457 |
$329K |
| 2023 |
2,728 |
$658K |
| 2024 |
1,504 |
$396K |
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 |
6,372 |
566 |
$1.35M |
| T1026 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour |
317 |
40 |
$31K |