BANYAN PEDIATRIC CARE CENTERS - ST PETERSBURG
NPI: 1265074090
· ST PETERSBURG, FL 33701
· Medically Fragile Infants and Children Day Care
· NPI assigned 10/14/2019
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
93% of spending on code T1025 with only 2 total codes billed. Highly concentrated billing profile.
$6.61M
Total Medicaid Paid
Provider Details
| Authorized Official | HUFFMAN, JANET (CFO) |
| NPI Enumeration Date | 10/14/2019 |
Related Entities
Other providers sharing the same authorized official: HUFFMAN, JANET
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
8,862 |
$962K |
| 2021 |
11,856 |
$1.51M |
| 2022 |
7,754 |
$1.15M |
| 2023 |
11,295 |
$2.58M |
| 2024 |
1,857 |
$413K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1025 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem |
35,300 |
2,688 |
$6.15M |
| T1026 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour |
6,324 |
1,011 |
$466K |