Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEDIATRIC SERVICES OF AMERICA, LLC

NPI: 1982628350 · PITTSBURGH, PA 15233 · Home Health Agency · NPI assigned 07/27/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$34.86M
Total Medicaid Paid
69,147
Total Claims
4,583
Beneficiaries
8
Codes Billed
2018-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBUCKHALTER, MATTHEW (CFO)
NPI Enumeration Date07/27/2006

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 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
FIRST CHOICE CHILDRENS HOMECARE LP AUSTIN TX $29.62M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 151 $775K
2020 2,313 $2.26M
2021 9,750 $7.52M
2022 9,801 $8.00M
2023 21,635 $8.43M
2024 25,497 $7.87M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9124 Nursing care, in the home; by licensed practical nurse, per hour 16,117 1,535 $16.67M
T1003 Lpn/lvn services, up to 15 minutes 20,609 1,169 $11.01M
G0156 Services of home health/hospice aide in home health or hospice settings, each 15 minutes 18,477 943 $3.55M
T1019 Personal 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) 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) 3,256 247 $1.43M
T1002 Rn services, up to 15 minutes 482 56 $240K
W1793 State-specific procedure code 694 53 $104K
S9122 Home health aide or certified nurse assistant, providing care in the home; per hour 375 28 $72K