Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Big Dreams Services, INC

Big Dreams Services, INC was paid $3.08M by Medicaid between Jul 2021 and Dec 2024, across 1 billing code. Its largest line is S9122, Home health aide or certified nurse assistant, providing care in the home; per hour — 100% of everything it billed.

33Billing provider infoBIG DREAMS SERVICES, INC
NORTH MIAMI BEACH, FL 33162
33aNPI1528611134assigned 07/23/2019
28Total paid$3.08M
24GClaims20,437
24DCodes billed1
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers

Next to other In Home Supportive Care Agency providers in Florida

Rank by total paid#90 of 259
Median peer was paid$1.39M
This provider vs. median2.2×

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 S9122 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20212,186$268K
20226,886$786K
20235,976$1.05M
2024incomplete5,389$976K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9122 Home health aide or certified nurse assistant, providing care in the home; per hour 100% 20,437 702 $3.08M

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 officialOLIVIER, JESSICA (CEO)