PEDIATRIC SERVICES OF AMERICA, LLC
NPI: 1104848134
· SHELTON, CT 06484
· Home Health Agency
· NPI assigned 07/25/2006
Deactivated NPI
· This NPI was deactivated on 03/31/2021. Reactivated 04/20/2021.
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more
$92.74M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: BUCKHALTER, MATTHEW
| Provider | City | State | Total Paid |
|---|
| MEDCO RESPIRATORY INSTRUMENTS, INC. |
HOUSTON |
TX |
$171.57M |
| OPTION 1 NUTRITION SOLUTIONS LLC |
DENVER |
CO |
$168.53M |
| D & D SERVICES INC |
TULSA |
OK |
$119.26M |
| EPIC HEALTH SERVICES (PA), LLC |
BALA CYNWYD |
PA |
$104.43M |
| OPTION 1 NUTRITION SOLUTIONS, LLC |
CHANDLER |
AZ |
$79.18M |
| PYRA MED HEALTH SERVICES, LLC |
SAN ANTONIO |
TX |
$67.65M |
| EPIC HEALTH SERVICES INC |
WORCESTER |
MA |
$50.06M |
| DEPENDABLE NURSES OF PHOENIX, LLC |
SCOTTSDALE |
AZ |
$49.43M |
| PEDIATRIC SERVICES OF AMERICA, LLC |
BROCKTON |
MA |
$47.84M |
| EPIC HEALTH SERVICES, INC. |
HOUSTON |
TX |
$41.90M |
| FIRST CHOICE CHILDRENS HOMECARE LP |
STAFFORD |
TX |
$37.61M |
| PEDIATRIC SERVICES OF AMERICA, LLC |
PITTSBURGH |
PA |
$34.86M |
| PEDIATRIC SERVICES OF AMERICA, LLC |
WINTER PARK |
FL |
$33.52M |
| PEDIATRIC SERVICES OF AMERICA, LLC |
RALEIGH |
NC |
$32.46M |
| OPTION 1 NORTHWEST ENTERAL LLC |
KENT |
WA |
$32.43M |
| CARE UNLIMITED INC. |
WEXFORD |
PA |
$32.43M |
| PEDIATRIC SERVICES OF AMERICA, LLC |
HARRISBURG |
PA |
$31.46M |
| PEDIATRIC SERVICES OF AMERICA, LLC |
MCALLEN |
TX |
$31.33M |
| PEDIATRIC SERVICES OF AMERICA, LLC |
READING |
PA |
$30.29M |
| FIRST CHOICE CHILDRENS HOMECARE LP |
AUSTIN |
TX |
$29.62M |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
57,754 |
$16.24M |
| 2019 |
49,881 |
$14.41M |
| 2020 |
46,449 |
$13.83M |
| 2021 |
46,486 |
$12.47M |
| 2022 |
41,508 |
$12.52M |
| 2023 |
42,446 |
$12.34M |
| 2024 |
36,071 |
$10.94M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9124 |
Nursing care, in the home; by licensed practical nurse, per hour |
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) |
84,298 |
4,984 |
$23.26M |
| T1016 |
Case management, each 15 minutes |
1,024 |
870 |
$164K |
| T1004 |
Services of a qualified nursing aide, up to 15 minutes |
1,091 |
48 |
$105K |