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

Prescribed Pediatric Extended Care, INC

Prescribed Pediatric Extended Care, INC was paid $40.25M by Medicaid between Jan 2018 and Nov 2024, across 9 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 — 89% of everything it billed.

33Billing provider infoPRESCRIBED PEDIATRIC EXTENDED CARE, INC
BATON ROUGE, LA 70809
33aNPI1760515977assigned 03/14/2007
28Total paid$40.25M
24GClaims280,656
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Medically Fragile Infants and Children Day Care providers in Louisiana

Rank by total paid#1 of 17
Median peer was paid$7.84M
This provider vs. median5.1×

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.

Entity ProliferationAuthorized official TOSTI, HEIDI controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
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
201864,900$8.26M
201978,356$12.51M
202064,675$8.81M
202161,216$7.83M
20226,783$1.22M
20232,820$962K
2024incomplete1,906$663K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1025 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem 89% 206,592 16,227 $35.75M
T1026 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour 5.1% 22,820 4,399 $2.05M
97530 Therapeutic activities, direct patient contact, each 15 minutes 2.6% 21,440 4,013 $1.06M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1.8% 14,225 2,879 $726K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.3% 10,565 1,891 $532K
T2002 Non-emergency transportation; per diem <1% 4,891 393 $125K
92523 <1% 76 73 $4K
97163 <1% 33 32 $2K
97164 <1% 14 14 $714.70

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 officialTOSTI, HEIDI (VP FINANCE)
Same official

Other billing entities under TOSTI, HEIDI

Full network →
ProviderLocationPaid
Lauren's House, LLCCoatesville, PA$13.32M
Prescribed Pediatric Extended Care, INCFlowood, MS$9.54M
Prescribed Pediatric Extended Care, INCAlexandria, LA$8.12M
Prescribed Pediatric Extended Care, INCTupelo, MS$7.24M
Prescribed Pediatric Extended Care, INCMetairie, LA$3.87M
Pediatric Health ChoiceTampa, FL$3.35M
Pediatric Health ChoiceOcala, FL$2.94M
Pediatric Health ChoiceLakeland, FL$2.93M
Pediatric Health ChoiceSarasota, FL$2.58M
Pediatric Health ChoiceClearwater, FL$1.38M
Pediatric Health ChoiceLeesburg, FL$1.31M
Pediatric Health ChoiceHaines City, FL$1.09M
Pediatric Health ChoiceGainesville, FL$577K
Pediatric Health ChoiceTampa, FL$482K
Pediatric Health ChoiceLakeland, FL$345K
Pediatric Health ChoiceOcala, FL$212K
Prescribed Pediatric Extended Care, INCHammond, LA$137K
Pediatric Health ChoiceSarasota, FL$119K
Pediatric Health ChoiceClearwater, FL$48K
Pediatric Health ChoiceLeesburg, FL$8K

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