Nursing facility
Pediatric Home Care Services LLC
Pediatric Home Care Services LLC was paid $31.76M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is 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) — 96% of everything it billed.
33Billing provider infoPEDIATRIC HOME CARE SERVICES LLC
SAN JUAN, PR 00927
SAN JUAN, PR 00927
33aNPI1831234301assigned 02/21/2007
33bProvider typePediatric Skilled Nursing Facility
28Total paid$31.76M
24GClaims42,360
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration96% of spending on code S9123 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | 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 | |
| 2024incomplete | 5,771 | $6.60M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | 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) | 96% | 35,525 | 5,989 | $30.54M |
| T1030 | Nursing care, in the home, by registered nurse, per diem | 3.8% | 6,835 | 236 | $1.21M |
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 officialVALENTIN, IRVIN (PRESIDENT)