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

Pediatria Healthcare, LLC

Pediatria Healthcare, LLC was paid $4.08M by Medicaid between Oct 2020 and Nov 2024, across 1 billing code. Its largest line is S9123, Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) — 100% of everything it billed.

33Billing provider infoPEDIATRIA HEALTHCARE, LLC
WYNCOTE, PA 19095
33aNPI1548557879assigned 07/07/2011
28Total paid$4.08M
24GClaims13,631
24DCodes billed1
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers

Next to other Medically Fragile Infants and Children Day Care providers in Pennsylvania

Rank by total paid#5 of 8
Median peer was paid$4.08M
This provider vs. median1.0×

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 S9123 with only 1 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more
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
2020537$158K
20213,383$1.01M
20224,216$1.25M
20233,006$920K
2024incomplete2,489$745K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9123 Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) 100% 13,631 984 $4.08M

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 officialBUCKHALTER, MATTHEW (CFO)
Same official

Other billing entities under BUCKHALTER, MATTHEW

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.