Medicaid Provider Spending

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

TENDER CARE MEDICAL SERVICES OF ST. JOHNS COUNTY, INC.

NPI: 1902178775 · ST AUGUSTINE, FL 32086 · Medically Fragile Infants and Children Day Care · NPI assigned 02/08/2012

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

100% of spending on code T1025 with only 1 total codes billed. Highly concentrated billing profile.

$6.32M
Total Medicaid Paid
30,040
Total Claims
2,127
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMIDDLETON, PHYLLIS (ADMINISTRATOR)
NPI Enumeration Date02/08/2012

Related Entities

Other providers sharing the same authorized official: MIDDLETON, PHYLLIS

ProviderCityStateTotal Paid
TENDER CARE MEDICAL SERVICES OF ST. JOHNS COUNTY, INC. ST AUGUSTINE FL $733K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,771 $828K
2019 5,303 $1.09M
2020 4,201 $879K
2021 4,159 $909K
2022 2,386 $535K
2023 4,382 $1.07M
2024 3,838 $1.01M

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 30,040 2,127 $6.32M