Pediatric Private Duty Nursing, INC
Pediatric Private Duty Nursing, INC was paid $50.08M by Medicaid between Jul 2019 and Dec 2024, across 2 billing codes. Its largest line is T1000, Private duty / independent nursing service(s) - licensed, up to 15 minutes — 97% of everything it billed.
SAN ANTONIO, TX 78255
Next to other Nursing Care Agency providers in Texas
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 173 | $88K | |
| 2020 | 5,560 | $2.75M | |
| 2021 | 26,465 | $12.98M | |
| 2022 | 23,081 | $11.47M | |
| 2023 | 25,896 | $11.89M | |
| 2024incomplete | 23,019 | $10.91M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1000 | Private duty / independent nursing service(s) - licensed, up to 15 minutes | 97% | 99,774 | 3,377 | $48.81M |
| S9124 | Nursing care, in the home; by licensed practical nurse, per hour | 2.5% | 4,420 | 147 | $1.27M |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Pediatric Health Therapy, INC | San Antonio, TX | $474K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.