Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CO › Aurora › NPI 1992731848
Agency

Pediatric Services of America, LLC

Pediatric Services of America, LLC was paid $3.28M by Medicaid between Jan 2018 and Dec 2020, across 1 billing code. Its largest line is S9122, Home health aide or certified nurse assistant, providing care in the home; per hour — 100% of everything it billed.

33Billing provider infoPEDIATRIC SERVICES OF AMERICA, LLC
AURORA, CO 80014
33aNPI1992731848assigned 06/23/2006
33bProvider typeHome Health Agency
28Total paid$3.28M
24GClaims40,900
24DCodes billed1
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers

Next to other Home Health Agency providers in Colorado

Rank by total paid#107 of 252
Median peer was paid$2.29M
This provider vs. median1.4×

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.

High Claims/Beneficiary Ratio56 claims per beneficiary (threshold: 50). This could indicate intensive per-unit billing or warrant further review. Read more
Single-Code Concentration100% of spending on code S9122 with only 1 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
201813,567$973K
201912,217$931K
202015,116$1.38M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9122 Home health aide or certified nurse assistant, providing care in the home; per hour 100% 40,900 726 $3.28M

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 officialBUCKHALTER, MATTHEW (CFO)
Same official

Other billing entities under BUCKHALTER, MATTHEW

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.