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PROVIDENCE PEDIATRIC MEDICAL DAYCARE, INC.
PROVIDENCE PEDIATRIC MEDICAL DAYCARE, INC.
NPI: 1083765010
· CAMDEN, NJ 08104
· Medically Fragile Infants and Children Day Care
· NPI assigned 01/16/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1024 with only 1 total codes billed. Highly concentrated billing profile.
$1.53M
Total Medicaid Paid
Provider Details
| Authorized Official | ROMAN, LEEANNA (PRESIDENT) |
| NPI Enumeration Date | 01/16/2007 |
Related Entities
Other providers sharing the same authorized official: ROMAN, LEEANNA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
5,013 |
$1.50M |
| 2019 |
112 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1024 |
Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter |
5,125 |
326 |
$1.53M |