Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Port St Lucie › NPI 1861976615
Clinic

Advanced Care Pediatrics of Florida, LLC

Advanced Care Pediatrics of Florida, LLC was paid $6.79M by Medicaid between Mar 2019 and Dec 2024, across 2 billing codes. Its largest line is T1025, Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem — 98% of everything it billed.

33Billing provider infoADVANCED CARE PEDIATRICS OF FLORIDA, LLC
PORT ST LUCIE, FL 34953
33aNPI1861976615assigned 09/18/2018
28Total paid$6.79M
24GClaims37,025
24DCodes billed2
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers

Next to other Medically Fragile Infants and Children Day Care providers in Florida

Rank by total paid#9 of 77
Median peer was paid$2.44M
This provider vs. median2.8×

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.

Single-Code Concentration98% of spending on code T1025 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
20194,165$538K
20204,484$687K
20216,533$971K
20225,594$1.06M
20239,883$2.06M
2024incomplete6,366$1.47M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1025 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem 98% 35,756 2,375 $6.64M
T1026 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour 2.2% 1,269 213 $152K

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 officialDELGADO, ALEXANDRA (ADMINISTRATOR)