Pediatric Health Choice
Pediatric Health Choice was paid $2.58M by Medicaid between Feb 2022 and Dec 2024, across 4 billing codes. 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 — 97% of everything it billed.
SARASOTA, FL 34243
Next to other Medically Fragile Infants and Children Day Care providers in Florida
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 4,364 | $686K | |
| 2023 | 4,839 | $1.12M | |
| 2024incomplete | 3,146 | $780K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1025 | Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem | 97% | 10,530 | 790 | $2.50M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.3% | 636 | 159 | $33K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.1% | 735 | 136 | $30K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 448 | 78 | $22K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Prescribed Pediatric Extended Care, INC | Baton Rouge, LA | $40.25M |
| Lauren's House, LLC | Coatesville, PA | $13.32M |
| Prescribed Pediatric Extended Care, INC | Flowood, MS | $9.54M |
| Prescribed Pediatric Extended Care, INC | Alexandria, LA | $8.12M |
| Prescribed Pediatric Extended Care, INC | Tupelo, MS | $7.24M |
| Prescribed Pediatric Extended Care, INC | Metairie, LA | $3.87M |
| Pediatric Health Choice | Tampa, FL | $3.35M |
| Pediatric Health Choice | Ocala, FL | $2.94M |
| Pediatric Health Choice | Lakeland, FL | $2.93M |
| Pediatric Health Choice | Clearwater, FL | $1.38M |
| Pediatric Health Choice | Leesburg, FL | $1.31M |
| Pediatric Health Choice | Haines City, FL | $1.09M |
| Pediatric Health Choice | Gainesville, FL | $577K |
| Pediatric Health Choice | Tampa, FL | $482K |
| Pediatric Health Choice | Lakeland, FL | $345K |
| Pediatric Health Choice | Ocala, FL | $212K |
| Prescribed Pediatric Extended Care, INC | Hammond, LA | $137K |
| Pediatric Health Choice | Sarasota, FL | $119K |
| Pediatric Health Choice | Clearwater, FL | $48K |
| Pediatric Health Choice | Leesburg, FL | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.