Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PEDIATRIC SERVICES OF AMERICA, LLC

NPI: 1982626917 · BATON ROUGE, LA 70810 · Nursing Care Agency · NPI assigned 07/25/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

96% of spending on code S9124 with only 3 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more

$23.33M
Total Medicaid Paid
76,943
Total Claims
3,458
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBUCKHALTER, MATTHEW (CFO)
NPI Enumeration Date07/25/2006

Related Entities

Other providers sharing the same authorized official: BUCKHALTER, MATTHEW

ProviderCityStateTotal Paid
MEDCO RESPIRATORY INSTRUMENTS, INC. HOUSTON TX $171.57M
OPTION 1 NUTRITION SOLUTIONS LLC DENVER CO $168.53M
D & D SERVICES INC TULSA OK $119.26M
EPIC HEALTH SERVICES (PA), LLC BALA CYNWYD PA $104.43M
PEDIATRIC SERVICES OF AMERICA, LLC SHELTON CT $92.74M
OPTION 1 NUTRITION SOLUTIONS, LLC CHANDLER AZ $79.18M
PYRA MED HEALTH SERVICES, LLC SAN ANTONIO TX $67.65M
EPIC HEALTH SERVICES INC WORCESTER MA $50.06M
DEPENDABLE NURSES OF PHOENIX, LLC SCOTTSDALE AZ $49.43M
PEDIATRIC SERVICES OF AMERICA, LLC BROCKTON MA $47.84M
EPIC HEALTH SERVICES, INC. HOUSTON TX $41.90M
FIRST CHOICE CHILDRENS HOMECARE LP STAFFORD TX $37.61M
PEDIATRIC SERVICES OF AMERICA, LLC PITTSBURGH PA $34.86M
PEDIATRIC SERVICES OF AMERICA, LLC WINTER PARK FL $33.52M
PEDIATRIC SERVICES OF AMERICA, LLC RALEIGH NC $32.46M
OPTION 1 NORTHWEST ENTERAL LLC KENT WA $32.43M
CARE UNLIMITED INC. WEXFORD PA $32.43M
PEDIATRIC SERVICES OF AMERICA, LLC HARRISBURG PA $31.46M
PEDIATRIC SERVICES OF AMERICA, LLC MCALLEN TX $31.33M
PEDIATRIC SERVICES OF AMERICA, LLC READING PA $30.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,946 $3.61M
2019 12,561 $3.20M
2020 11,732 $3.18M
2021 11,689 $3.51M
2022 9,906 $3.11M
2023 8,087 $3.38M
2024 8,022 $3.34M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9124 Nursing care, in the home; by licensed practical nurse, per hour 74,609 3,327 $22.39M
T1000 Private duty / independent nursing service(s) - licensed, up to 15 minutes 1,920 94 $796K
S9123 Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) 414 37 $140K