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PEDIATRIC SERVICES OF AMERICA, LLC

Home Health·SHELTON, CT·NPI: 1104848134Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $92.7M is at the 25th percentile among 322 Home Health providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$92.7M

$92,740,498

Total Claims

321K

Beneficiaries

16K

20.6 claims/patient

Avg Cost/Claim

$289

Monthly Spending Trend

Yearly Spending

2018
$16.2M
-11%
2019
$14.4M
-4%
2020
$13.8M
-10%
2021
$12.5M
+0%
2022
$12.5M
-1%
2023
$12.3M
-11%
2024
$10.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (S9124 (Nursing care, in the home; per hour)) accounts for 75% of total spending.

S9124Normal range

Nursing care, in the home; per hour

$69.2M

234K claims · 74.6%

Your Cost: $295.56/claim|Median: $400.25
0.7× median
S9123Normal range

Nursing care, in the home, by RN, per 15 minutes

$23.3M

84K claims · 25.1%

Your Cost: $275.89/claim|Median: $124.86
2.2× median
T1016Top 25%

Case management, each 15 min

$164K

1,024 claims · 0.2%

Your Cost: $160.52/claim|Median: $49.62
3.2× median
T1004Top 25%

Services of a qualified nursing aide, per 15 minutes

$105K

1,091 claims · 0.1%

Your Cost: $96.29/claim|Median: $50.30
1.9× median