Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Pediatria Healthcare, LLC

Pediatria Healthcare, LLC was paid $13.99M by Medicaid between Jul 2019 and Dec 2024, across 2 billing codes. Its largest line is S9123, Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) — 54% of everything it billed.

33Billing provider infoPEDIATRIA HEALTHCARE, LLC
WILKES BARRE, PA 18705
33aNPI1447492269assigned 03/25/2009
28Total paid$13.99M
24GClaims40,400
24DCodes billed2
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers

Next to other Medically Fragile Infants and Children Day Care providers in Pennsylvania

Rank by total paid#1 of 8
Median peer was paid$4.08M
This provider vs. median3.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2019472$179K
20201,797$638K
20219,300$3.22M
202210,107$3.47M
202310,505$3.51M
2024incomplete8,219$2.97M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9123 Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) 54% 21,820 1,613 $7.56M
T1002 Rn services, up to 15 minutes 46% 18,580 1,241 $6.43M

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBUCKHALTER, MATTHEW (CFO)
Same official

Other billing entities under BUCKHALTER, MATTHEW

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.