Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEDIATRIC ALTERNATIVE TREATMENT CARE HOUSING AND EVALUATION SERVICES I

NPI: 1689758328 · FLORIDA CITY, FL 33034 · Medically Fragile Infants and Children Day Care · NPI assigned 10/25/2006

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

98% of spending on code T1025 with only 2 total codes billed. Highly concentrated billing profile.

$11.79M
Total Medicaid Paid
55,817
Total Claims
4,544
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, AZONA (CEO)
NPI Enumeration Date10/25/2006

Related Entities

Other providers sharing the same authorized official: SMITH, AZONA

ProviderCityStateTotal Paid
PEDIATRIC ALTERNATIVE TREATMENT CARE, HOUSING & EVALUATION SERVICES FORT PIERCE FL $9.29M
PEDIATRIC ALTERNATIVE TREATMENT CARE HOUSING AND EVALUATION SERVICES FLORIDA CITY FL $4.40M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,950 $1.94M
2019 10,966 $2.23M
2020 7,432 $1.36M
2021 5,755 $1.06M
2022 7,171 $1.47M
2023 7,923 $2.00M
2024 6,620 $1.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1025 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem 53,682 4,101 $11.54M
T1026 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour 2,135 443 $253K