Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PEDIATRIC SERVICES OF AMERICA, LLC

NPI: 1598185498 · BENBROOK, TX 76109 · Home Health Agency · NPI assigned 04/18/2014

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code T1000 with only 1 total codes billed. Highly concentrated billing profile.

$11.42M
Total Medicaid Paid
26,599
Total Claims
1,290
Beneficiaries
1
Codes Billed
2020-09
First Month
2024-07
Last Month

Provider Details

Authorized OfficialDRAKE, SHANNON (CHIEF LEGAL OFFICER)
NPI Enumeration Date04/18/2014

Related Entities

Other providers sharing the same authorized official: DRAKE, SHANNON

ProviderCityStateTotal Paid
PEDIATRIC SERVICES OF AMERICA, LLC KANE PA $11.86M
PREMIER HEALTHCARE SERVICES, LLC SAN MARCOS CA $10.68M
PREMIER HEALTHCARE SERVICES, LLC LAGUNA HILLS CA $9.00M
FIRSTAFF NURSING SERVICES, INC. JENKINTOWN PA $6.91M
EPIC HEALTH SERVICES, INC. PITTSBURGH PA $1.41M
CHILD'S PLAY THERAPEUTIC HOMECARE INC. SAN ANTONIO TX $31K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,480 $1.12M
2021 7,951 $3.65M
2022 6,747 $2.82M
2023 6,054 $2.44M
2024 3,367 $1.38M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1000 Private duty / independent nursing service(s) - licensed, up to 15 minutes 26,599 1,290 $11.42M