LEARNING TREE PPEC, LLC
NPI: 1902498777
· ORLANDO, FL 32806
· Nursing Care Agency
· NPI assigned 02/03/2021
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1025 with only 2 total codes billed. Highly concentrated billing profile.
$4.04M
Total Medicaid Paid
Provider Details
| Authorized Official | LUNA, VERONICA (PRESIDENT) |
| NPI Enumeration Date | 02/03/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,421 |
$295K |
| 2023 |
7,063 |
$1.77M |
| 2024 |
7,687 |
$1.98M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1025 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem |
16,128 |
1,142 |
$4.04M |
| T1026 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour |
43 |
12 |
$6K |