Pediatric Services of America, LLC
Pediatric Services of America, LLC was paid $34.86M by Medicaid between Nov 2018 and Dec 2024, across 8 billing codes. Its largest line is S9124, Nursing care, in the home; by licensed practical nurse, per hour — 48% of everything it billed.
PITTSBURGH, PA 15233
Next to other Home Health Agency providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 151 | $775K | |
| 2020 | 2,313 | $2.26M | |
| 2021 | 9,750 | $7.52M | |
| 2022 | 9,801 | $8.00M | |
| 2023 | 21,635 | $8.43M | |
| 2024incomplete | 25,497 | $7.87M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9124 | Nursing care, in the home; by licensed practical nurse, per hour | 48% | 16,117 | 1,535 | $16.67M |
| T1003 | Lpn/lvn services, up to 15 minutes | 32% | 20,609 | 1,169 | $11.01M |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 10% | 18,477 | 943 | $3.55M |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 5.1% | 9,137 | 552 | $1.79M |
| 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) | 4.1% | 3,256 | 247 | $1.43M |
| T1002 | Rn services, up to 15 minutes | <1% | 482 | 56 | $240K |
| W1793 | State-specific procedure code | <1% | 694 | 53 | $104K |
| S9122 | Home health aide or certified nurse assistant, providing care in the home; per hour | <1% | 375 | 28 | $72K |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.