SPECIALIZED PEDIATRIC CARE LLC
NPI: 1962984211
· MIAMI, FL 33125
· Pediatric Skilled Nursing Facility
· NPI assigned 09/04/2018
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.
$5.43M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
2,081 |
$435K |
| 2020 |
4,289 |
$642K |
| 2021 |
5,639 |
$795K |
| 2022 |
3,641 |
$686K |
| 2023 |
2,554 |
$1.43M |
| 2024 |
2,265 |
$1.44M |
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 |
20,469 |
1,567 |
$5.43M |