Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEDIATRIC HEALTH CHOICE

NPI: 1871040527 · HAINES CITY, FL 33844 · Medically Fragile Infants and Children Day Care · NPI assigned 09/09/2016

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

99% of spending on code T1025 with only 2 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official TOSTI, HEIDI controls 20+ related entities in our dataset. Read more

$1.09M
Total Medicaid Paid
4,891
Total Claims
424
Beneficiaries
2
Codes Billed
2022-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialTOSTI, HEIDI (VP FINANCE)
NPI Enumeration Date09/09/2016

Related Entities

Other providers sharing the same authorized official: TOSTI, HEIDI

ProviderCityStateTotal Paid
PRESCRIBED PEDIATRIC EXTENDED CARE, INC BATON ROUGE LA $40.25M
LAUREN'S HOUSE, LLC COATESVILLE PA $13.32M
PRESCRIBED PEDIATRIC EXTENDED CARE, INC FLOWOOD MS $9.54M
PRESCRIBED PEDIATRIC EXTENDED CARE, INC ALEXANDRIA LA $8.12M
PRESCRIBED PEDIATRIC EXTENDED CARE, INC TUPELO MS $7.24M
PRESCRIBED PEDIATRIC EXTENDED CARE, INC METAIRIE LA $3.87M
PEDIATRIC HEALTH CHOICE TAMPA FL $3.35M
PEDIATRIC HEALTH CHOICE OCALA FL $2.94M
PEDIATRIC HEALTH CHOICE LAKELAND FL $2.93M
PEDIATRIC HEALTH CHOICE SARASOTA FL $2.58M
PEDIATRIC HEALTH CHOICE CLEARWATER FL $1.38M
PEDIATRIC HEALTH CHOICE LEESBURG FL $1.31M
PEDIATRIC HEALTH CHOICE GAINESVILLE FL $577K
PEDIATRIC HEALTH CHOICE TAMPA FL $482K
PEDIATRIC HEALTH CHOICE LAKELAND FL $345K
PEDIATRIC HEALTH CHOICE OCALA FL $212K
PRESCRIBED PEDIATRIC EXTENDED CARE, INC HAMMOND LA $137K
PEDIATRIC HEALTH CHOICE SARASOTA FL $119K
PEDIATRIC HEALTH CHOICE CLEARWATER FL $48K
PEDIATRIC HEALTH CHOICE LEESBURG FL $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 1,580 $287K
2023 1,917 $450K
2024 1,394 $351K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1025 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem 4,767 412 $1.08M
T1026 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour 124 12 $13K