Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Harleysville Pediatric Home Care INC

Harleysville Pediatric Home Care INC was paid $4.32M by Medicaid between Oct 2020 and Mar 2023, across 1 billing code. Its largest line is 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) — 100% of everything it billed.

33Billing provider infoHARLEYSVILLE PEDIATRIC HOME CARE INC
HARLEYSVILLE, PA 19438
33aNPI1215950555assigned 07/26/2006
33bProvider typeHome Health Agency
28Total paid$4.32M
24GClaims8,950
24DCodes billed1
24AFirst – last monthOct 2020 – Mar 2023
Compared with peers

Next to other Home Health Agency providers in Pennsylvania

Rank by total paid#171 of 404
Median peer was paid$2.66M
This provider vs. median1.6×

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.

Single-Code Concentration100% of spending on code S9123 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
20201,157$564K
20214,048$1.95M
20223,566$1.73M
2023179$80K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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) 100% 8,950 536 $4.32M

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 officialFIRELY, JOHN (PRESIDENT)
Same official

Other billing entities under FIRELY, JOHN

Full network →
ProviderLocationPaid
Firely PediatricsHarleysville, PA$1.79M
Firely Home for KidsAllentown, PA$482K

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