Agency
Specialty Care Pediatrics, INC.
Specialty Care Pediatrics, INC. was paid $44.83M by Medicaid between Apr 2019 and Dec 2024, across 1 billing code. Its largest line is T1000, Private duty / independent nursing service(s) - licensed, up to 15 minutes — 100% of everything it billed.
33Billing provider infoSPECIALTY CARE PEDIATRICS, INC.
EDMOND, OK 73013
EDMOND, OK 73013
33aNPI1477034395assigned 08/28/2018
33bProvider typeHome Health Agency
28Total paid$44.83M
24GClaims111,682
24DCodes billed1
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in Oklahoma
Rank by total paid#3 of 55
Median peer was paid$1.41M
This provider vs. median32×
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.
Single-Code Concentration100% of spending on code T1000 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 7,335 | $2.81M | |
| 2020 | 17,566 | $7.22M | |
| 2021 | 21,132 | $8.40M | |
| 2022 | 21,069 | $7.84M | |
| 2023 | 22,213 | $9.37M | |
| 2024incomplete | 22,367 | $9.19M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1000 | Private duty / independent nursing service(s) - licensed, up to 15 minutes | 100% | 111,682 | 5,526 | $44.83M |
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 officialREED, JAMI (OWNER/CEO)