Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › LA › Metairie › NPI 1194120063
Clinic

Pediatria Healthcare, LLC

Pediatria Healthcare, LLC was paid $10.16M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is T1025, Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem — 87% of everything it billed.

33Billing provider infoPEDIATRIA HEALTHCARE, LLC
METAIRIE, LA 70003
33aNPI1194120063assigned 11/04/2014
28Total paid$10.16M
24GClaims65,406
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Medically Fragile Infants and Children Day Care providers in Louisiana

Rank by total paid#4 of 17
Median peer was paid$7.84M
This provider vs. median1.3×

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$100K$200K2018201920202021202220232024
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
201819,276$1.85M
201914,879$1.89M
20209,675$1.43M
20216,042$1.09M
20224,758$1.09M
20236,269$1.49M
2024incomplete4,507$1.32M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1025 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem 87% 41,589 2,383 $8.82M
T1026 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour 8.0% 4,849 1,252 $812K
T2002 Non-emergency transportation; per diem 5.1% 18,968 1,474 $523K

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.