ADVANCED CARE PEDIATRICS OF FLORIDA, LLC
NPI: 1912615196
· FORT PIERCE, FL 34950
· Medically Fragile Infants and Children Day Care
· NPI assigned 11/07/2022
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1025 with only 2 total codes billed. Highly concentrated billing profile.
$1.27M
Total Medicaid Paid
Provider Details
| Authorized Official | THERIEN-DOUGLAS, CRISTOL (ADMINISTRATOR) |
| Parent Organization | ADVANCED CARE PEDIATRICS OF FLORIDA, LLC |
| NPI Enumeration Date | 11/07/2022 |
Related Entities
Other providers sharing the same authorized official: THERIEN-DOUGLAS, CRISTOL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,996 |
$450K |
| 2024 |
3,138 |
$816K |
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 |
5,082 |
340 |
$1.26M |
| T1026 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour |
52 |
12 |
$8K |