Medicaid Provider Spending

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

PEDIATRIA HEALTHCARE, LLC

NPI: 1518132406 · TALLAHASSEE, FL 32312 · Medically Fragile Infants and Children Day Care · NPI assigned 04/23/2008

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

100% of spending on code T1025 with only 2 total codes billed. Highly concentrated billing profile.

Entity Proliferation

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

$5.34M
Total Medicaid Paid
28,931
Total Claims
2,438
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBUCKHALTER, MATTHEW (CFO)
NPI Enumeration Date04/23/2008

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
2018 5,745 $836K
2019 5,165 $1.05M
2020 3,758 $621K
2021 5,281 $792K
2022 2,818 $493K
2023 3,394 $846K
2024 2,770 $705K

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 28,899 2,414 $5.34M
T1026 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour 32 24 $893.60