Medicaid Provider Spending

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

DELTA PEDIATRIC CARE

NPI: 1437523511 · GREENVILLE, MS 38701 · Pediatric Skilled Nursing Facility · NPI assigned 11/30/2015

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

95% of spending on code T1025 with only 3 total codes billed. Highly concentrated billing profile.

$5.72M
Total Medicaid Paid
17,771
Total Claims
2,509
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGALLAGHER, MAUREEN (OWNER)
NPI Enumeration Date11/30/2015

Related Entities

Other providers sharing the same authorized official: GALLAGHER, MAUREEN

ProviderCityStateTotal Paid
DESOTO PEDIATRIC EXTENDED CARE LLC SOUTHHAVEN MS $8.16M
LAFAYETTE PEDIATRIC EXTENDED CARE MONROE LA $1.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,365 $638K
2019 2,216 $620K
2020 2,472 $600K
2021 2,868 $937K
2022 3,079 $1.04M
2023 2,899 $1.05M
2024 1,872 $833K

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 14,072 1,715 $5.42M
T2002 Non-emergency transportation; per diem 3,457 693 $275K
T1026 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour 242 101 $33K