GENCARE KIDS, LLC
NPI: 1609488840
· KISSIMMEE, FL 34744
· Medically Fragile Infants and Children Day Care
· NPI assigned 08/19/2020
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.
$1.24M
Total Medicaid Paid
Provider Details
| Authorized Official | RIVERA, JEFFREY (ADMINISTRATOR) |
| NPI Enumeration Date | 08/19/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
354 |
$23K |
| 2022 |
466 |
$80K |
| 2023 |
3,047 |
$652K |
| 2024 |
1,922 |
$489K |
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 |
5,789 |
452 |
$1.24M |