Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › RALEIGH › PEDIATRIC SERVICES OF AMERICA, LLC

PEDIATRIC SERVICES OF AMERICA, LLC

NPI: 1114955309 · RALEIGH, NC 27615 · Home Health Agency · NPI assigned 06/28/2006

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

Authorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more

$32.46M
Total Medicaid Paid
95,216
Total Claims
4,787
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBUCKHALTER, MATTHEW (CFO)
NPI Enumeration Date06/28/2006

Related Entities

Other providers sharing the same authorized official: BUCKHALTER, MATTHEW

ProviderCityStateTotal 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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 10,698 $4.59M

Billing Codes

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