ADVANCED CARE PEDIATRICS OF FLORIDA, LLC
NPI: 1568170447
· TITUSVILLE, FL 32780
· Medically Fragile Infants and Children Day Care
· NPI assigned 11/09/2022
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.
$1.58M
Total Medicaid Paid
Provider Details
| Authorized Official | THERIEN-DOUGLAS, CRISTOL (ADMINISTRATOR) |
| Parent Organization | ADVANCED CARE PEDIATRICS OF FLORIDA, LLC |
| NPI Enumeration Date | 11/09/2022 |
Related Entities
Other providers sharing the same authorized official: THERIEN-DOUGLAS, CRISTOL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
2,716 |
$689K |
| 2024 |
3,379 |
$892K |
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 |
6,095 |
497 |
$1.58M |