Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Pediatric Services of America, LLC

Pediatric Services of America, LLC was paid $12.14M by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is S9124, Nursing care, in the home; by licensed practical nurse, per hour — 93% of everything it billed.

33Billing provider infoPEDIATRIC SERVICES OF AMERICA, LLC
FAIRFAX, VA 22030
33aNPI1740218239assigned 06/30/2006
33bProvider typeHome Health Agency
28Total paid$12.14M
24GClaims33,354
24DCodes billed3
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Home Health Agency providers in Virginia

Rank by total paid#78 of 678
Median peer was paid$1.59M
This provider vs. median7.6×

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.

Single-Code Concentration93% of spending on code S9124 with only 3 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
20185,507$1.70M
20196,941$1.96M
20205,851$1.87M
20215,088$1.64M
20223,605$1.60M
20232,921$1.54M
2024incomplete3,441$1.82M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9124 Nursing care, in the home; by licensed practical nurse, per hour 93% 30,722 1,483 $11.26M
T1003 Lpn/lvn services, up to 15 minutes 4.0% 1,637 66 $486K
S9123 Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) 3.2% 995 87 $394K

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 officialBUCKHALTER, MATTHEW (CFO)
Same official

Other billing entities under BUCKHALTER, MATTHEW

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.