Agency
Pediatric Services of America, LLC
Pediatric Services of America, LLC was paid $11.86M by Medicaid between Oct 2020 and May 2024, across 5 billing codes. Its largest line is S9124, Nursing care, in the home; by licensed practical nurse, per hour — 53% of everything it billed.
33Billing provider infoPEDIATRIC SERVICES OF AMERICA, LLC
KANE, PA 16735
KANE, PA 16735
33aNPI1700816113assigned 07/03/2006
33bProvider typeHome Health Agency
28Total paid$11.86M
24GClaims27,996
24DCodes billed5
24AFirst – last monthOct 2020 – May 2024
Compared with peers
Next to other Home Health Agency providers in Pennsylvania
Rank by total paid#104 of 404
Median peer was paid$2.66M
This provider vs. median4.5×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 1,906 | $771K | |
| 2021 | 9,794 | $3.46M | |
| 2022 | 6,781 | $3.39M | |
| 2023 | 6,416 | $3.16M | |
| 2024incomplete | 3,099 | $1.08M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9124 | Nursing care, in the home; by licensed practical nurse, per hour | 53% | 10,941 | 591 | $6.24M |
| T1003 | Lpn/lvn services, up to 15 minutes | 29% | 5,890 | 299 | $3.47M |
| S9122 | Home health aide or certified nurse assistant, providing care in the home; per hour | 11% | 7,144 | 352 | $1.29M |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 4.0% | 2,172 | 144 | $472K |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 3.2% | 1,849 | 123 | $378K |
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 officialDRAKE, SHANNON (CHIEF LEGAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Services of America, LLC | Benbrook, TX | $11.42M |
| Premier Healthcare Services, LLC | San Marcos, CA | $10.68M |
| Premier Healthcare Services, LLC | Laguna Hills, CA | $9.00M |
| Firstaff Nursing Services, INC. | Jenkintown, PA | $6.91M |
| Epic Health Services, INC. | Pittsburgh, PA | $1.41M |
| Child's Play Therapeutic Homecare INC. | San Antonio, TX | $31K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.