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

Gencare Kids, LLC

Gencare Kids, LLC was paid $1.24M by Medicaid between Aug 2021 and Nov 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 infoGENCARE KIDS, LLC
KISSIMMEE, FL 34744
33aNPI1609488840assigned 08/19/2020
28Total paid$1.24M
24GClaims5,789
24DCodes billed1
24AFirst – last monthAug 2021 – Nov 2024
Compared with peers

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

Rank by total paid#57 of 77
Median peer was paid$2.44M
This provider vs. median0.5×

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$25K$50K$75K2018201920202021202220232024
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
2021354$23K
2022466$80K
20233,047$652K
2024incomplete1,922$489K
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% 5,789 452 $1.24M

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 officialRIVERA, JEFFREY (ADMINISTRATOR)