Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HARLEYSVILLE PEDIATRIC HOME CARE INC

NPI: 1215950555 · HARLEYSVILLE, PA 19438 · Home Health Agency · NPI assigned 07/26/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code S9123 with only 1 total codes billed. Highly concentrated billing profile.

$4.32M
Total Medicaid Paid
8,950
Total Claims
536
Beneficiaries
1
Codes Billed
2020-10
First Month
2023-03
Last Month

Provider Details

Authorized OfficialFIRELY, JOHN (PRESIDENT)
NPI Enumeration Date07/26/2006

Related Entities

Other providers sharing the same authorized official: FIRELY, JOHN

ProviderCityStateTotal Paid
FIRELY PEDIATRICS HARLEYSVILLE PA $1.79M
FIRELY HOME FOR KIDS ALLENTOWN PA $482K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,157 $564K
2021 4,048 $1.95M
2022 3,566 $1.73M
2023 179 $80K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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) 8,950 536 $4.32M