PEDIATRIC HOME CARE SERVICES LLC
NPI: 1831234301
· SAN JUAN, PR 00927
· Pediatric Skilled Nursing Facility
· NPI assigned 02/21/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
96% of spending on code S9123 with only 2 total codes billed. Highly concentrated billing profile.
$31.76M
Total Medicaid Paid
Provider Details
| Authorized Official | VALENTIN, IRVIN (PRESIDENT) |
| NPI Enumeration Date | 02/21/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,458 |
$2.01M |
| 2019 |
5,702 |
$3.81M |
| 2020 |
6,215 |
$4.64M |
| 2021 |
7,609 |
$4.71M |
| 2022 |
5,979 |
$4.46M |
| 2023 |
5,626 |
$5.52M |
| 2024 |
5,771 |
$6.60M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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) |
35,525 |
5,989 |
$30.54M |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
6,835 |
236 |
$1.21M |