Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Nursing facility

Specialized Pediatric Care LLC

Specialized Pediatric Care LLC was paid $5.43M by Medicaid between Jun 2019 and Dec 2024, across 1 billing code. Its largest line is T1025, Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem — 100% of everything it billed.

33Billing provider infoSPECIALIZED PEDIATRIC CARE LLC
MIAMI, FL 33125
33aNPI1962984211assigned 09/04/2018
28Total paid$5.43M
24GClaims20,469
24DCodes billed1
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers

Next to other Pediatric Skilled Nursing Facility providers in Florida

Rank by total paid#6 of 29
Median peer was paid$2.63M
This provider vs. median2.1×

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 Concentration100% of spending on code T1025 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
20192,081$435K
20204,289$642K
20215,639$795K
20223,641$686K
20232,554$1.43M
2024incomplete2,265$1.44M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1025 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem 100% 20,469 1,567 $5.43M

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 officialCIFUENTES, DANIEL (PRESIDENT)