Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEDIATRIC HEALTH CHOICE

NPI: 1093265514 · LAKELAND, FL 33805 · Medically Fragile Infants and Children Day Care · NPI assigned 10/07/2016

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

Authorized official TOSTI, HEIDI controls 20+ related entities in our dataset. Read more

$2.93M
Total Medicaid Paid
12,451
Total Claims
1,082
Beneficiaries
5
Codes Billed
2022-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTOSTI, HEIDI (VP FINANCE)
NPI Enumeration Date10/07/2016

Related Entities

Other providers sharing the same authorized official: TOSTI, HEIDI

ProviderCityStateTotal Paid
PRESCRIBED PEDIATRIC EXTENDED CARE, INC BATON ROUGE LA $40.25M
LAUREN'S HOUSE, LLC COATESVILLE PA $13.32M
PRESCRIBED PEDIATRIC EXTENDED CARE, INC FLOWOOD MS $9.54M
PRESCRIBED PEDIATRIC EXTENDED CARE, INC ALEXANDRIA LA $8.12M
PRESCRIBED PEDIATRIC EXTENDED CARE, INC TUPELO MS $7.24M
PRESCRIBED PEDIATRIC EXTENDED CARE, INC METAIRIE LA $3.87M
PEDIATRIC HEALTH CHOICE TAMPA FL $3.35M
PEDIATRIC HEALTH CHOICE OCALA FL $2.94M
PEDIATRIC HEALTH CHOICE SARASOTA FL $2.58M
PEDIATRIC HEALTH CHOICE CLEARWATER FL $1.38M
PEDIATRIC HEALTH CHOICE LEESBURG FL $1.31M
PEDIATRIC HEALTH CHOICE HAINES CITY FL $1.09M
PEDIATRIC HEALTH CHOICE GAINESVILLE FL $577K
PEDIATRIC HEALTH CHOICE TAMPA FL $482K
PEDIATRIC HEALTH CHOICE LAKELAND FL $345K
PEDIATRIC HEALTH CHOICE OCALA FL $212K
PRESCRIBED PEDIATRIC EXTENDED CARE, INC HAMMOND LA $137K
PEDIATRIC HEALTH CHOICE SARASOTA FL $119K
PEDIATRIC HEALTH CHOICE CLEARWATER FL $48K
PEDIATRIC HEALTH CHOICE LEESBURG FL $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 2,530 $481K
2023 5,831 $1.41M
2024 4,090 $1.04M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1025 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem 12,005 925 $2.89M
T1026 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour 196 40 $23K
97530 Therapeutic activities, direct patient contact, each 15 minutes 114 54 $5K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 64 31 $4K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 72 32 $4K