PERSONAL PEDIATRIC CARE LLC
NPI: 1700230117
· BATON ROUGE, LA 70806
· Pediatric Skilled Nursing Facility
· NPI assigned 04/21/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
94% of spending on code T1025 with only 3 total codes billed. Highly concentrated billing profile.
$9.78M
Total Medicaid Paid
Provider Details
| Authorized Official | FRILOUX, JILL (OWNER/ADMINISTRATOR) |
| NPI Enumeration Date | 04/21/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,580 |
$1.32M |
| 2019 |
6,092 |
$1.44M |
| 2020 |
4,055 |
$1.06M |
| 2021 |
4,683 |
$1.51M |
| 2022 |
4,220 |
$1.46M |
| 2023 |
4,264 |
$1.56M |
| 2024 |
3,911 |
$1.44M |
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 |
27,329 |
2,705 |
$9.20M |
| T2002 |
Non-emergency transportation; per diem |
4,151 |
705 |
$291K |
| T1026 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour |
1,325 |
356 |
$288K |