G&D PPEC
NPI: 1518444595
· PALMETTO BAY, FL 33176
· Behavioral Analyst
· NPI assigned 07/23/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1025 with only 1 total codes billed. Highly concentrated billing profile.
$3.27M
Total Medicaid Paid
Provider Details
| Authorized Official | LEON, MARCELO (ADMINISTRATOR) |
| NPI Enumeration Date | 07/23/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
3,018 |
$379K |
| 2022 |
2,827 |
$472K |
| 2023 |
4,848 |
$1.20M |
| 2024 |
4,771 |
$1.22M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1025 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem |
15,464 |
940 |
$3.27M |