Medicaid Provider Spending

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

NPI: 1235168725 · HARRISBURG, PA 17110 · Home Health Agency · NPI assigned 06/30/2006

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

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

$31.46M
Total Medicaid Paid
65,638
Total Claims
4,123
Beneficiaries
7
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBUCKHALTER, MATTHEW (CFO)
NPI Enumeration Date06/30/2006

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
PEDIATRIC SERVICES OF AMERICA, LLC RALEIGH NC $32.46M
OPTION 1 NORTHWEST ENTERAL LLC KENT WA $32.43M
CARE UNLIMITED INC. WEXFORD PA $32.43M
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
2020 2,126 $1.38M
2021 13,239 $7.05M
2022 14,612 $8.32M
2023 16,969 $7.32M
2024 18,692 $7.38M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9124 Nursing care, in the home; by licensed practical nurse, per hour 19,612 1,589 $13.61M
T1003 Lpn/lvn services, up to 15 minutes 22,859 1,234 $11.61M
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) 4,351 344 $1.76M
G0156 Services of home health/hospice aide in home health or hospice settings, each 15 minutes 7,535 327 $1.56M
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 5,926 321 $1.23M
T1002 Rn services, up to 15 minutes 1,744 125 $864K
S9122 Home health aide or certified nurse assistant, providing care in the home; per hour 3,611 183 $829K