PEDIATRIC HEALTH CHOICE

NPI: 1407303183 · CLEARWATER, FL 33765 · Medically Fragile Infants and Children Day Care · NPI assigned 09/09/2016

Billing Flags · Automated signals — not evidence of fraud

Single-Code Concentration

100% of spending on code T1025 with only 1 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official TOSTI, HEIDI controls 20+ related entities in our dataset. Read more

$1.38M

Total Medicaid Paid

5,936

Total Claims

471

Beneficiaries

Codes Billed

2022-02

First Month

2024-09

Last Month

Provider Details

Authorized Official	TOSTI, HEIDI (VP FINANCE)
NPI Enumeration Date	09/09/2016

Other providers sharing the same authorized official: TOSTI, HEIDI

Provider	City	State	Total Paid
PRESCRIBED PEDIATRIC EXTENDED CARE, INC	BATON ROUGE	LA	$40.25M
LAUREN'S HOUSE, LLC	COATESVILLE	PA	$13.32M
PRESCRIBED PEDIATRIC EXTENDED CARE, INC	FLOWOOD	MS	$9.54M
PRESCRIBED PEDIATRIC EXTENDED CARE, INC	ALEXANDRIA	LA	$8.12M
PRESCRIBED PEDIATRIC EXTENDED CARE, INC	TUPELO	MS	$7.24M
PRESCRIBED PEDIATRIC EXTENDED CARE, INC	METAIRIE	LA	$3.87M
PEDIATRIC HEALTH CHOICE	TAMPA	FL	$3.35M
PEDIATRIC HEALTH CHOICE	OCALA	FL	$2.94M
PEDIATRIC HEALTH CHOICE	LAKELAND	FL	$2.93M
PEDIATRIC HEALTH CHOICE	SARASOTA	FL	$2.58M
PEDIATRIC HEALTH CHOICE	LEESBURG	FL	$1.31M
PEDIATRIC HEALTH CHOICE	HAINES CITY	FL	$1.09M
PEDIATRIC HEALTH CHOICE	GAINESVILLE	FL	$577K
PEDIATRIC HEALTH CHOICE	TAMPA	FL	$482K
PEDIATRIC HEALTH CHOICE	LAKELAND	FL	$345K
PEDIATRIC HEALTH CHOICE	OCALA	FL	$212K
PRESCRIBED PEDIATRIC EXTENDED CARE, INC	HAMMOND	LA	$137K
PEDIATRIC HEALTH CHOICE	SARASOTA	FL	$119K
PEDIATRIC HEALTH CHOICE	CLEARWATER	FL	$48K
PEDIATRIC HEALTH CHOICE	LEESBURG	FL	$8K

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	5,936	471	$1.38M