Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Pediatric Services of America, LLC

Pediatric Services of America, LLC was paid $31.33M by Medicaid between Sep 2019 and Dec 2024, across 2 billing codes. Its largest line is T1000, Private duty / independent nursing service(s) - licensed, up to 15 minutes — 97% of everything it billed.

33Billing provider infoPEDIATRIC SERVICES OF AMERICA, LLC
MCALLEN, TX 78504
33aNPI1962540369assigned 02/01/2007
33bProvider typeHome Health Agency
28Total paid$31.33M
24GClaims62,960
24DCodes billed2
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers

Next to other Home Health Agency providers in Texas

Rank by total paid#66 of 1,243
Median peer was paid$1.86M
This provider vs. median17×

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 Concentration97% of spending on code T1000 with only 2 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
20191,509$462K
20204,230$1.82M
202115,134$7.47M
202213,092$6.54M
202313,129$6.87M
2024incomplete15,866$8.17M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1000 Private duty / independent nursing service(s) - licensed, up to 15 minutes 97% 59,881 1,992 $30.31M
S9124 Nursing care, in the home; by licensed practical nurse, per hour 3.3% 3,079 112 $1.02M

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 officialBUCKHALTER, MATTHEW (CFO)
Same official

Other billing entities under BUCKHALTER, MATTHEW

Full network →

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