GOLDEN HEARTS PPEC INC
NPI: 1770222135
· MIAMI, FL 33169
· Medically Fragile Infants and Children Day Care
· NPI assigned 06/02/2022
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1025 with only 1 total codes billed. Highly concentrated billing profile.
$1.26M
Total Medicaid Paid
Provider Details
| Authorized Official | CRESPO, LEYISET (ADMINISTRATOR) |
| NPI Enumeration Date | 06/02/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
300 |
$216K |
| 2024 |
1,409 |
$1.04M |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T1025 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem |
1,709 |
260 |
$1.26M |