PEDIATRIC SERVICES OF AMERICA, LLC

NPI: 1609284546 · LAKEWOOD, WA 98499 · Nursing Care Agency · NPI assigned 07/23/2014

Billing Flags · Automated signals — not evidence of fraud

Single-Code Concentration

94% of spending on code T1000 with only 2 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more

$22.40M

Total Medicaid Paid

50,836

Total Claims

3,042

Beneficiaries

Codes Billed

2019-01

First Month

2024-11

Last Month

Provider Details

Authorized Official	BUCKHALTER, MATTHEW (CFO)
NPI Enumeration Date	07/23/2014

Other providers sharing the same authorized official: BUCKHALTER, MATTHEW

Provider	City	State	Total Paid
MEDCO RESPIRATORY INSTRUMENTS, INC.	HOUSTON	TX	$171.57M
OPTION 1 NUTRITION SOLUTIONS LLC	DENVER	CO	$168.53M
D & D SERVICES INC	TULSA	OK	$119.26M
EPIC HEALTH SERVICES (PA), LLC	BALA CYNWYD	PA	$104.43M
PEDIATRIC SERVICES OF AMERICA, LLC	SHELTON	CT	$92.74M
OPTION 1 NUTRITION SOLUTIONS, LLC	CHANDLER	AZ	$79.18M
PYRA MED HEALTH SERVICES, LLC	SAN ANTONIO	TX	$67.65M
EPIC HEALTH SERVICES INC	WORCESTER	MA	$50.06M
DEPENDABLE NURSES OF PHOENIX, LLC	SCOTTSDALE	AZ	$49.43M
PEDIATRIC SERVICES OF AMERICA, LLC	BROCKTON	MA	$47.84M
EPIC HEALTH SERVICES, INC.	HOUSTON	TX	$41.90M
FIRST CHOICE CHILDRENS HOMECARE LP	STAFFORD	TX	$37.61M
PEDIATRIC SERVICES OF AMERICA, LLC	PITTSBURGH	PA	$34.86M
PEDIATRIC SERVICES OF AMERICA, LLC	WINTER PARK	FL	$33.52M
PEDIATRIC SERVICES OF AMERICA, LLC	RALEIGH	NC	$32.46M
OPTION 1 NORTHWEST ENTERAL LLC	KENT	WA	$32.43M
CARE UNLIMITED INC.	WEXFORD	PA	$32.43M
PEDIATRIC SERVICES OF AMERICA, LLC	HARRISBURG	PA	$31.46M
PEDIATRIC SERVICES OF AMERICA, LLC	MCALLEN	TX	$31.33M
PEDIATRIC SERVICES OF AMERICA, LLC	READING	PA	$30.29M

Code	Description	Claims	Beneficiaries	Total Paid
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	45,703	1,937	$21.05M
T1002	Rn services, up to 15 minutes	5,133	1,105	$1.34M