THE EXTRAORDINARY KIDS FOUNDATION, INC
NPI: 1043759244
· LAKE WORTH, FL 33461
· Medically Fragile Infants and Children Day Care
· NPI assigned 02/21/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code T1025 with only 2 total codes billed. Highly concentrated billing profile.
$6.64M
Total Medicaid Paid
Provider Details
| Authorized Official | GILZENE, MADEAN (DIRECTOR) |
| NPI Enumeration Date | 02/21/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,834 |
$728K |
| 2019 |
4,025 |
$1.54M |
| 2020 |
2,122 |
$1000K |
| 2021 |
1,452 |
$666K |
| 2022 |
1,056 |
$583K |
| 2023 |
1,477 |
$1.04M |
| 2024 |
1,618 |
$1.08M |
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 |
11,644 |
2,460 |
$6.44M |
| T1026 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour |
1,940 |
165 |
$206K |