Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › WILKES BARRE › PEDIATRIA HEALTHCARE, LLC

PEDIATRIA HEALTHCARE, LLC

NPI: 1508168170 · WILKES BARRE, PA 18705 · Home Health Agency · NPI assigned 12/02/2010

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

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

$13.94M
Total Medicaid Paid
43,825
Total Claims
2,571
Beneficiaries
5
Codes Billed
2020-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBUCKHALTER, MATTHEW (CFO)
NPI Enumeration Date12/02/2010

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 1,859 $551K
2021 10,282 $3.03M
2022 12,554 $4.17M
2023 11,082 $3.59M
2024 8,048 $2.59M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9124 Nursing care, in the home; by licensed practical nurse, per hour 12,237 732 $4.90M
T1003 Lpn/lvn services, up to 15 minutes 9,535 563 $3.97M
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) 8,678 470 $2.04M
S9122 Home health aide or certified nurse assistant, providing care in the home; per hour 8,096 518 $1.81M
G0156 Services of home health/hospice aide in home health or hospice settings, each 15 minutes 5,279 288 $1.21M