Medicaid Provider Spending

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

BRIGHTSTART PEDIATRICS LLC

NPI: 1396911020 · SANFORD, FL 32773 · Pediatric Skilled Nursing Facility · NPI assigned 05/02/2008

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

99% of spending on code T1025 with only 2 total codes billed. Highly concentrated billing profile.

$6.20M
Total Medicaid Paid
31,416
Total Claims
2,446
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBROWN, LINDA (MANAGING MEMBER)
NPI Enumeration Date05/02/2008

Related Entities

Other providers sharing the same authorized official: BROWN, LINDA

ProviderCityStateTotal Paid
BROWN EMERGENCY MEDICINE PROVIDENCE RI $12.33M
BRIGHTSTART PEDIATRICS, LLC ORLANDO FL $5.17M
BRIGHTSTART PEDIATRICS, LLC WINTER GARDEN FL $3.34M
BRIGHTSTART PEDIATRICS,LLC ORLANDO FL $1.60M
STILL & REECE DENTISTRY LLC BARNWELL SC $592K
WASHTENAW COMMUNITY HEALTH ORGANIZATION YPSILANTI MI $560K
SILVER FALLS SCHOOL DIST. 4J SILVERTON OR $448K
BRIGHTSTART PEDIATRICS LLC SANFORD FL $286K
ISLAND EYE PHYSICIANS & SURGEONS ANACORTES WA $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,008 $853K
2019 5,783 $1.18M
2020 3,462 $599K
2021 3,536 $588K
2022 2,845 $513K
2023 5,261 $1.32M
2024 4,521 $1.14M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1025 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem 30,866 2,343 $6.15M
T1026 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour 550 103 $48K