FRANKIES WORLD FOUNDATION
NPI: 1154639847
· PHILADELPHIA, PA 19123
· Medically Fragile Infants and Children Day Care
· NPI assigned 09/16/2010
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
96% of spending on code S9123 with only 2 total codes billed. Highly concentrated billing profile.
$5.48M
Total Medicaid Paid
Provider Details
| Authorized Official | BUCZEK, MARIANNE (SPECIAL ASSISTANT) |
| NPI Enumeration Date | 09/16/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
474 |
$126K |
| 2021 |
3,719 |
$1.01M |
| 2022 |
3,459 |
$1.06M |
| 2023 |
4,612 |
$1.53M |
| 2024 |
6,380 |
$1.75M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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) |
16,825 |
1,405 |
$5.24M |
| T1002 |
Rn services, up to 15 minutes |
1,819 |
163 |
$236K |