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

National Nursing and Rehab Sa Pediatrics, LLC

National Nursing and Rehab Sa Pediatrics, LLC was paid $46.25M by Medicaid between Jul 2019 and Dec 2024, across 12 billing codes. Its largest line is T1000, Private duty / independent nursing service(s) - licensed, up to 15 minutes — 49% of everything it billed.

33Billing provider infoNATIONAL NURSING AND REHAB SA PEDIATRICS, LLC
SAN ANTONIO, TX 78216
33aNPI1811207848assigned 10/08/2010
33bProvider typeCase Management Agency
28Total paid$46.25M
24GClaims297,843
24DCodes billed12
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers

Next to other Case Management Agency providers in Texas

Rank by total paid#7 of 219
Median peer was paid$1.45M
This provider vs. median32×

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

$0$1.0M$2.0M2018201920202021202220232024
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
201974$6K
20209,121$1.10M
202155,642$7.25M
202259,480$8.41M
202382,306$13.15M
2024incomplete91,220$16.36M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1000 Private duty / independent nursing service(s) - licensed, up to 15 minutes 49% 57,585 2,658 $22.71M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 34% 164,972 29,555 $15.64M
97530 Therapeutic activities, direct patient contact, each 15 minutes 10.0% 44,288 8,566 $4.62M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4.0% 20,221 4,213 $1.85M
92526 1.4% 5,109 994 $636K
92523 <1% 1,741 1,682 $295K
S9152 Speech therapy, re-evaluation <1% 1,990 1,922 $274K
T1005 Respite care services, up to 15 minutes <1% 764 65 $98K
97168 <1% 592 580 $62K
97166 <1% 279 275 $34K
97162 <1% 173 170 $21K
97164 <1% 129 124 $13K

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 officialPICTROWSKI, MARC (REGIONAL DIRECTOR OF TEXAS OPS)