Agency
Pediatric Special Care, INC.
Pediatric Special Care, INC. was paid $17.11M by Medicaid between Jan 2018 and Nov 2024, across 39 billing codes. Its largest line is T1000, Private duty / independent nursing service(s) - licensed, up to 15 minutes — 87% of everything it billed.
33Billing provider infoPEDIATRIC SPECIAL CARE, INC.
NORTHVILLE, MI 48167
NORTHVILLE, MI 48167
33aNPI1891745808assigned 05/11/2006
33bProvider typeHome Health Agency
28Total paid$17.11M
24GClaims56,469
24DCodes billed39
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Home Health Agency providers in Michigan
Rank by total paid#18 of 328
Median peer was paid$697K
This provider vs. median25×
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.
Entity ProliferationAuthorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | 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 | |
| 2024incomplete | 1,541 | $2.29M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1000 | Private duty / independent nursing service(s) - licensed, up to 15 minutes | 87% | 36,049 | 2,125 | $14.86M |
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 3.4% | 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 | 1.6% | 1,347 | 1,245 | $274K |
| S8189 | Tracheostomy supply, not otherwise classified | 1.3% | 679 | 671 | $224K |
| E1399 | Durable medical equipment, miscellaneous | 1.3% | 477 | 471 | $215K |
| A4624 | Tracheal suction catheter, any type other than closed system, each | <1% | 815 | 799 | $157K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | <1% | 961 | 956 | $134K |
| E0445 | Oximeter device for measuring blood oxygen levels non-invasively | <1% | 340 | 327 | $101K |
| A7520 | Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 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 | <1% | 434 | 412 | $66K |
| A7526 | Tracheostomy tube collar/holder, each | <1% | 999 | 975 | $65K |
| B4087 | Gastrostomy/jejunostomy tube, standard, any material, any type, each | <1% | 1,270 | 960 | $62K |
27 more codes
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 495 | $54K |
| A4629 | Tracheostomy care kit for established tracheostomy | <1% | 478 | $39K |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 585 | $36K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 1,251 | $34K |
| E0424 | Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing | <1% | 135 | $22K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 793 | $18K |
| A6209 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 64 | $12K |
| A4628 | Oral and/or oropharyngeal suction catheter, each | <1% | 736 | $10K |
| E0600 | Respiratory suction pump, home model, portable or stationary, electric | <1% | 314 | $9K |
| A7002 | Tubing, used with suction pump, each | <1% | 965 | $9K |
| E0776 | Iv pole | <1% | 896 | $8K |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 973 | $7K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 202 | $4K |
| E0570 | Nebulizer, with compressor | <1% | 290 | $4K |
| A4606 | Oxygen probe for use with oximeter device, replacement | <1% | 46 | $3K |
| A7018 | Water, distilled, used with large volume nebulizer, 1000 ml | <1% | 791 | $2K |
| A4244 | Alcohol or peroxide, per pint | <1% | 508 | $2K |
| A4402 | Lubricant, per ounce | <1% | 571 | $1K |
| A7012 | Water collection device, used with large volume nebulizer | <1% | 241 | $1K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 619 | $1K |
| A7525 | Tracheostomy mask, each | <1% | 310 | $1K |
| L8501 | Tracheostomy speaking valve | <1% | 14 | $1K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 56 | $281.88 |
| A4245 | Alcohol wipes, per box | <1% | 121 | $219.96 |
| A7007 | Large volume nebulizer, disposable, unfilled, used with aerosol compressor | <1% | 18 | $166.53 |
| A7505 | Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each | <1% | 13 | $96.90 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 31 | $34.35 |
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 officialBUCKHALTER, MATTHEW (CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.