Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pediatric Services of America, LLC

Pediatric Services of America, LLC was paid $92.74M by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is S9124, Nursing care, in the home; by licensed practical nurse, per hour — 75% of everything it billed.

33Billing provider infoPEDIATRIC SERVICES OF AMERICA, LLC
SHELTON, CT 06484
33aNPI1104848134assigned 07/25/2006
33bProvider typeHome Health Agency
28Total paid$92.74M
24GClaims320,595
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Home Health Agency providers in Connecticut

Rank by total paid#1 of 101
Median peer was paid$1.30M
This provider vs. median72×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201857,754$16.24M
201949,881$14.41M
202046,449$13.83M
202146,486$12.47M
202241,508$12.52M
202342,446$12.34M
2024incomplete36,071$10.94M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9124 Nursing care, in the home; by licensed practical nurse, per hour 75% 234,182 9,693 $69.21M
S9123 Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) 25% 84,298 4,984 $23.26M
T1016 Case management, each 15 minutes <1% 1,024 870 $164K
T1004 Services of a qualified nursing aide, up to 15 minutes <1% 1,091 48 $105K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBUCKHALTER, MATTHEW (CFO)
Same official

Other billing entities under BUCKHALTER, MATTHEW

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.