Medicaid Provider Spending

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

KIDS R KOOL, INC

NPI: 1922549062 · HIALEAH, FL 33012 · Pediatric Skilled Nursing Facility · NPI assigned 03/08/2017

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.

$8.42M
Total Medicaid Paid
13,510
Total Claims
2,326
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSIERRA, LEONARDO (CEO)
NPI Enumeration Date03/08/2017

Related Entities

Other providers sharing the same authorized official: SIERRA, LEONARDO

ProviderCityStateTotal Paid
KIDS R KOOL, INC HOMESTEAD FL $1.21M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,532 $589K
2019 2,761 $1.31M
2020 1,397 $683K
2021 1,883 $913K
2022 2,031 $1.43M
2023 2,093 $1.95M
2024 1,813 $1.55M

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 13,510 2,326 $8.42M