Medicaid Provider Spending

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

PEDIATRIC SPECIAL CARE, INC.

NPI: 1891745808 · NORTHVILLE, MI 48167 · Home Health Agency · NPI assigned 05/11/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more

$17.11M
Total Medicaid Paid
56,469
Total Claims
21,796
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBUCKHALTER, MATTHEW (CFO)
NPI Enumeration Date05/11/2006

Related Entities

Other providers sharing the same authorized official: BUCKHALTER, MATTHEW

ProviderCityStateTotal Paid
MEDCO RESPIRATORY INSTRUMENTS, INC. HOUSTON TX $171.57M
OPTION 1 NUTRITION SOLUTIONS LLC DENVER CO $168.53M
D & D SERVICES INC TULSA OK $119.26M
EPIC HEALTH SERVICES (PA), LLC BALA CYNWYD PA $104.43M
PEDIATRIC SERVICES OF AMERICA, LLC SHELTON CT $92.74M
OPTION 1 NUTRITION SOLUTIONS, LLC CHANDLER AZ $79.18M
PYRA MED HEALTH SERVICES, LLC SAN ANTONIO TX $67.65M
EPIC HEALTH SERVICES INC WORCESTER MA $50.06M
DEPENDABLE NURSES OF PHOENIX, LLC SCOTTSDALE AZ $49.43M
PEDIATRIC SERVICES OF AMERICA, LLC BROCKTON MA $47.84M
EPIC HEALTH SERVICES, INC. HOUSTON TX $41.90M
FIRST CHOICE CHILDRENS HOMECARE LP STAFFORD TX $37.61M
PEDIATRIC SERVICES OF AMERICA, LLC PITTSBURGH PA $34.86M
PEDIATRIC SERVICES OF AMERICA, LLC WINTER PARK FL $33.52M
PEDIATRIC SERVICES OF AMERICA, LLC RALEIGH NC $32.46M
OPTION 1 NORTHWEST ENTERAL LLC KENT WA $32.43M
CARE UNLIMITED INC. WEXFORD PA $32.43M
PEDIATRIC SERVICES OF AMERICA, LLC HARRISBURG PA $31.46M
PEDIATRIC SERVICES OF AMERICA, LLC MCALLEN TX $31.33M
PEDIATRIC SERVICES OF AMERICA, LLC READING PA $30.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,891 $3.26M
2019 16,851 $3.17M
2020 8,938 $2.46M
2021 5,857 $1.90M
2022 3,059 $1.64M
2023 2,332 $2.39M
2024 1,541 $2.29M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1000 Private duty / independent nursing service(s) - licensed, up to 15 minutes 36,049 2,125 $14.86M
E0465 Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) 725 716 $586K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 1,347 1,245 $274K
S8189 Tracheostomy supply, not otherwise classified 679 671 $224K
E1399 Durable medical equipment, miscellaneous 477 471 $215K
A4624 Tracheal suction catheter, any type other than closed system, each 815 799 $157K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 961 956 $134K
E0445 Oximeter device for measuring blood oxygen levels non-invasively 340 327 $101K
A7520 Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each 857 840 $84K
B4160 Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 434 412 $66K
A7526 Tracheostomy tube collar/holder, each 999 975 $65K
B4087 Gastrostomy/jejunostomy tube, standard, any material, any type, each 1,270 960 $62K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 495 488 $54K
A4629 Tracheostomy care kit for established tracheostomy 478 471 $39K
B9002 Enteral nutrition infusion pump, any type 585 577 $36K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 1,251 1,236 $34K
E0424 Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing 135 135 $22K
A4927 Gloves, non-sterile, per 100 793 762 $18K
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 64 64 $12K
A4628 Oral and/or oropharyngeal suction catheter, each 736 723 $10K
E0600 Respiratory suction pump, home model, portable or stationary, electric 314 276 $9K
A7002 Tubing, used with suction pump, each 965 957 $9K
E0776 Iv pole 896 896 $8K
A7000 Canister, disposable, used with suction pump, each 973 972 $7K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 202 196 $4K
E0570 Nebulizer, with compressor 290 288 $4K
A4606 Oxygen probe for use with oximeter device, replacement 46 37 $3K
A7018 Water, distilled, used with large volume nebulizer, 1000 ml 791 787 $2K
A4244 Alcohol or peroxide, per pint 508 503 $2K
A4402 Lubricant, per ounce 571 565 $1K
A7012 Water collection device, used with large volume nebulizer 241 239 $1K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 619 609 $1K
A7525 Tracheostomy mask, each 310 278 $1K
L8501 Tracheostomy speaking valve 14 13 $1K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each 56 55 $281.88
A4245 Alcohol wipes, per box 121 119 $219.96
A7007 Large volume nebulizer, disposable, unfilled, used with aerosol compressor 18 16 $166.53
A7505 Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each 13 12 $96.90
A7015 Aerosol mask, used with dme nebulizer 31 25 $34.35