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

Advanced Care Pediatrics of Florida, LLC

Advanced Care Pediatrics of Florida, LLC was paid $1.58M by Medicaid between May 2023 and Dec 2024, across 1 billing code. Its largest line is T1025, Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem — 100% of everything it billed.

33Billing provider infoADVANCED CARE PEDIATRICS OF FLORIDA, LLC
TITUSVILLE, FL 32780
33aNPI1568170447assigned 11/09/2022
28Total paid$1.58M
24GClaims6,095
24DCodes billed1
24AFirst – last monthMay 2023 – Dec 2024
Compared with peers

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

Rank by total paid#47 of 77
Median peer was paid$2.44M
This provider vs. median0.6×

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 T1025 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
20232,716$689K
2024incomplete3,379$892K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1025 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem 100% 6,095 497 $1.58M

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 officialTHERIEN-DOUGLAS, CRISTOL (ADMINISTRATOR)
Parent organizationADVANCED CARE PEDIATRICS OF FLORIDA, LLC
Same official

Other billing entities under THERIEN-DOUGLAS, CRISTOL

Full network →
ProviderLocationPaid
Advanced Care Pediatrics of Florida, LLCFort Pierce, FL$1.27M
Advanced Care Pediatrics of Florida, LLCJacksonville, FL$358K

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