Tender Care Medical Services of ST. Johns County, INC.

Tender Care Medical Services of ST. Johns County, INC. was paid $6.32M by Medicaid between Jan 2018 and Dec 2024, across 1 billing code. 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 — 100% of everything it billed.

33Billing provider infoTENDER CARE MEDICAL SERVICES OF ST. JOHNS COUNTY, INC.
ST AUGUSTINE, FL 32086

33aNPI1902178775assigned 02/08/2012

33bProvider typeMedically Fragile Infants and Children Day Care

28Total paid$6.32M

24GClaims30,040

24DCodes billed1

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

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

Rank by total paid#15 of 77

Median peer was paid$2.44M

This provider vs. median2.6×

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 Concentration100% of spending on code T1025 with only 1 total codes billed. Highly concentrated billing profile.

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	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
2024incomplete	3,838	$1.01M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1025	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem	100%	30,040	2,127	$6.32M

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 officialMIDDLETON, PHYLLIS (ADMINISTRATOR)

Same official

Other billing entities under MIDDLETON, PHYLLIS

Full network →

Provider	Location	Paid
Tender Care Medical Services of ST. Johns County, INC.	St Augustine, FL	$733K

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