PEDIALAC NURSING SERVICES LLC
NPI: 1417303603
· FREDERICKSBRG, VA 22406
· Home Health Agency
· NPI assigned 05/06/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code S9124 with only 1 total codes billed. Highly concentrated billing profile.
$7.02M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
610 |
$836K |
| 2019 |
1,076 |
$1.14M |
| 2020 |
1,033 |
$1.15M |
| 2021 |
522 |
$654K |
| 2022 |
443 |
$785K |
| 2023 |
741 |
$1.66M |
| 2024 |
362 |
$791K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9124 |
Nursing care, in the home; by licensed practical nurse, per hour |
4,787 |
811 |
$7.02M |