Medicaid Provider Spending

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

PEDIATRIC SERVICES OF AMERICA, LLC

NPI: 1487914495 · OLYPHANT, PA 18447 · Nursing Care Agency · NPI assigned 05/23/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more

$25.07M
Total Medicaid Paid
75,390
Total Claims
4,903
Beneficiaries
8
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBUCKHALTER, MATTHEW (CFO)
NPI Enumeration Date05/23/2012

Related Entities

Other providers sharing the same authorized official: BUCKHALTER, MATTHEW

ProviderCityStateTotal Paid
MEDCO RESPIRATORY INSTRUMENTS, INC. HOUSTON TX $171.57M
OPTION 1 NUTRITION SOLUTIONS LLC DENVER CO $168.53M
D & D SERVICES INC TULSA OK $119.26M
EPIC HEALTH SERVICES (PA), LLC BALA CYNWYD PA $104.43M
PEDIATRIC SERVICES OF AMERICA, LLC SHELTON CT $92.74M
OPTION 1 NUTRITION SOLUTIONS, LLC CHANDLER AZ $79.18M
PYRA MED HEALTH SERVICES, LLC SAN ANTONIO TX $67.65M
EPIC HEALTH SERVICES INC WORCESTER MA $50.06M
DEPENDABLE NURSES OF PHOENIX, LLC SCOTTSDALE AZ $49.43M
PEDIATRIC SERVICES OF AMERICA, LLC BROCKTON MA $47.84M
EPIC HEALTH SERVICES, INC. HOUSTON TX $41.90M
FIRST CHOICE CHILDRENS HOMECARE LP STAFFORD TX $37.61M
PEDIATRIC SERVICES OF AMERICA, LLC PITTSBURGH PA $34.86M
PEDIATRIC SERVICES OF AMERICA, LLC WINTER PARK FL $33.52M
PEDIATRIC SERVICES OF AMERICA, LLC RALEIGH NC $32.46M
OPTION 1 NORTHWEST ENTERAL LLC KENT WA $32.43M
CARE UNLIMITED INC. WEXFORD PA $32.43M
PEDIATRIC SERVICES OF AMERICA, LLC HARRISBURG PA $31.46M
PEDIATRIC SERVICES OF AMERICA, LLC MCALLEN TX $31.33M
PEDIATRIC SERVICES OF AMERICA, LLC READING PA $30.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,695 $904K
2021 14,787 $4.69M
2022 18,446 $6.47M
2023 22,338 $7.26M
2024 17,124 $5.75M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1003 Lpn/lvn services, up to 15 minutes 19,091 1,223 $7.97M
S9124 Nursing care, in the home; by licensed practical nurse, per hour 19,951 1,354 $7.68M
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 10,313 553 $2.28M
G0156 Services of home health/hospice aide in home health or hospice settings, each 15 minutes 10,428 542 $2.08M
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) 4,488 425 $1.87M
T1002 Rn services, up to 15 minutes 3,936 312 $1.73M
S9122 Home health aide or certified nurse assistant, providing care in the home; per hour 5,729 398 $1.31M
W1793 State-specific procedure code 1,454 96 $160K