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SUNSHINE PEDIATRIC DAY CENTER FORT WORTH LLC
SUNSHINE PEDIATRIC DAY CENTER FORT WORTH LLC
NPI: 1104596543
· DALLAS, TX 75247
· Pediatrics Physician
· NPI assigned 09/16/2021
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
92% of spending on code T1025 with only 3 total codes billed. Highly concentrated billing profile.
$1.29M
Total Medicaid Paid
Provider Details
| Authorized Official | MAYMON, DAVID (CEO) |
| NPI Enumeration Date | 09/16/2021 |
Related Entities
Other providers sharing the same authorized official: MAYMON, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
204 |
$49K |
| 2024 |
5,342 |
$1.24M |
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 |
3,048 |
250 |
$1.19M |
| T2002 |
Non-emergency transportation; per diem |
2,287 |
203 |
$87K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
211 |
26 |
$17K |