Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Pediatric Health Choice

Pediatric Health Choice was paid $1.09M by Medicaid between Jan 2022 and Oct 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 — 99% of everything it billed.

33Billing provider infoPEDIATRIC HEALTH CHOICE
HAINES CITY, FL 33844
33aNPI1871040527assigned 09/09/2016
28Total paid$1.09M
24GClaims4,891
24DCodes billed2
24AFirst – last monthJan 2022 – Oct 2024
Compared with peers

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

Rank by total paid#60 of 77
Median peer was paid$2.44M
This provider vs. median0.4×

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 Concentration99% of spending on code T1025 with only 2 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official TOSTI, HEIDI controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
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
20221,580$287K
20231,917$450K
2024incomplete1,394$351K
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 99% 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 1.2% 124 12 $13K

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 officialTOSTI, HEIDI (VP FINANCE)
Same official

Other billing entities under TOSTI, HEIDI

Full network →
ProviderLocationPaid
Prescribed Pediatric Extended Care, INCBaton Rouge, LA$40.25M
Lauren's House, LLCCoatesville, PA$13.32M
Prescribed Pediatric Extended Care, INCFlowood, MS$9.54M
Prescribed Pediatric Extended Care, INCAlexandria, LA$8.12M
Prescribed Pediatric Extended Care, INCTupelo, MS$7.24M
Prescribed Pediatric Extended Care, INCMetairie, LA$3.87M
Pediatric Health ChoiceTampa, FL$3.35M
Pediatric Health ChoiceOcala, FL$2.94M
Pediatric Health ChoiceLakeland, FL$2.93M
Pediatric Health ChoiceSarasota, FL$2.58M
Pediatric Health ChoiceClearwater, FL$1.38M
Pediatric Health ChoiceLeesburg, FL$1.31M
Pediatric Health ChoiceGainesville, FL$577K
Pediatric Health ChoiceTampa, FL$482K
Pediatric Health ChoiceLakeland, FL$345K
Pediatric Health ChoiceOcala, FL$212K
Prescribed Pediatric Extended Care, INCHammond, LA$137K
Pediatric Health ChoiceSarasota, FL$119K
Pediatric Health ChoiceClearwater, FL$48K
Pediatric Health ChoiceLeesburg, FL$8K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.