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PEDIATRIA HEALTHCARE, LLC

Home Health·NEEDHAM, MA·NPI: 1427225523Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $47.8M is at the below 25th percentile among 322 Home Health providers.

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

Total Paid

$47.8M

$47,758,830

Total Claims

170K

Beneficiaries

7,919

21.5 claims/patient

Avg Cost/Claim

$281

Monthly Spending Trend

Yearly Spending

2018
$7.2M
+32%
2019
$9.4M
-5%
2020
$9.0M
-28%
2021
$6.5M
-15%
2022
$5.5M
+3%
2023
$5.7M
-22%
2024
$4.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (T1002 (RN services, per 15 minutes)) accounts for 55% of total spending.

T1002Top 10%

RN services, per 15 minutes

$26.3M

87K claims · 55.1%

Your Cost: $301.73/claim|Median: $37.42
8.1× median
T1003Top 25%

LPN/LVN services, per 15 minutes

$20.4M

81K claims · 42.8%

Your Cost: $252.73/claim|Median: $24.24
10.4× median
T1004Top 1%

Services of a qualified nursing aide, per 15 minutes

$525K

1,877 claims · 1.1%

Your Cost: $279.96/claim|Median: $50.30
5.6× median
T1030Top 1%

Nursing care, in the home, by RN, per diem

$454K

176 claims · 1.0%

Your Cost: $2,578.75/claim|Median: $85.62
30.1× median