JACKSON COUNTY PEDIATRIC EXTENDED CARE LLC
NPI: 1588104814
· PASCAGOULA, MS 39567
· Pediatric Skilled Nursing Facility
· NPI assigned 03/06/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code T1025 with only 3 total codes billed. Highly concentrated billing profile.
$5.50M
Total Medicaid Paid
Provider Details
| Authorized Official | HAMMOND, ASHLEY (OWNER/ADMINISTRATOR) |
| NPI Enumeration Date | 03/06/2017 |
Related Entities
Other providers sharing the same authorized official: HAMMOND, ASHLEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
706 |
$127K |
| 2019 |
3,009 |
$615K |
| 2020 |
3,323 |
$891K |
| 2021 |
3,170 |
$931K |
| 2022 |
4,783 |
$978K |
| 2023 |
4,428 |
$967K |
| 2024 |
4,637 |
$990K |
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 |
20,952 |
1,484 |
$5.34M |
| T2002 |
Non-emergency transportation; per diem |
2,831 |
264 |
$111K |
| T1026 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour |
273 |
76 |
$46K |