DESOTO PEDIATRIC EXTENDED CARE LLC
NPI: 1538526140
· SOUTHHAVEN, MS 38671
· Pediatric Skilled Nursing Facility
· NPI assigned 01/27/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
93% of spending on code T1025 with only 3 total codes billed. Highly concentrated billing profile.
$8.16M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: GALLAGHER, MAUREEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,640 |
$946K |
| 2019 |
3,931 |
$1.11M |
| 2020 |
2,672 |
$958K |
| 2021 |
2,523 |
$1.19M |
| 2022 |
3,099 |
$1.51M |
| 2023 |
2,588 |
$1.25M |
| 2024 |
2,135 |
$1.20M |
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 |
17,580 |
2,296 |
$7.59M |
| T1026 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour |
2,971 |
556 |
$565K |
| T2002 |
Non-emergency transportation; per diem |
37 |
16 |
$2K |