Pediatric Home Nursing Services, INC.
Pediatric Home Nursing Services, INC. was paid $4.69M by Medicaid between Apr 2018 and Mar 2024, across 3 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 81% of everything it billed.
WILLIAMSVILLE, NY 14221
Next to other Nursing Care Agency providers in New York
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,191 | $458K | |
| 2019 | 5,343 | $776K | |
| 2020 | 8,247 | $1.21M | |
| 2021 | 5,459 | $694K | |
| 2022 | 3,903 | $628K | |
| 2023 | 5,198 | $823K | |
| 2024incomplete | 653 | $98K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 81% | 28,598 | 2,115 | $3.79M |
| T1003 | Lpn/lvn services, up to 15 minutes | 12% | 1,795 | 86 | $553K |
| S9124 | Nursing care, in the home; by licensed practical nurse, per hour | 7.3% | 1,601 | 148 | $343K |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.