Pediatric Services of America, LLC

Pediatric Services of America, LLC was paid $32.46M by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is T1000, Private duty / independent nursing service(s) - licensed, up to 15 minutes — 93% of everything it billed.

33Billing provider infoPEDIATRIC SERVICES OF AMERICA, LLC
RALEIGH, NC 27615

33aNPI1114955309assigned 06/28/2006

33bProvider typeHome Health Agency

28Total paid$32.46M

24GClaims95,216

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Home Health Agency providers in North Carolina

Rank by total paid#9 of 509

Median peer was paid$1.89M

This provider vs. median17×

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

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

Year	Claims	Paid
2018	17,884	$4.82M
2019	18,670	$4.87M
2020	14,892	$5.07M
2021	12,261	$4.55M
2022	10,511	$4.06M
2023	10,300	$4.51M
2024incomplete	10,698	$4.59M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	93%	84,697	3,207	$30.19M
T1005	Respite care services, up to 15 minutes	6.8%	9,532	1,182	$2.21M
S9131	Physical therapy; in the home, per diem	<1%	496	117	$37K
A4927	Gloves, non-sterile, per 100	<1%	353	241	$16K
S9129	Occupational therapy, in the home, per diem	<1%	95	27	$8K
S9128	Speech therapy, in the home, per diem	<1%	43	13	$2K

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 →

Provider	Location	Paid
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Option 1 Nutrition Solutions LLC	Denver, CO	$168.53M
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Epic Health Services (PA), LLC	Bala Cynwyd, PA	$104.43M
Pediatric Services of America, LLC	Shelton, CT	$92.74M
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
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

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