Peds to Go INC
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $370K (2018) to $19.2M (2019) — a 5106% swing with $18.9M absolute change.
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 5106% from 2018 to 2019.
Single-Code
Billing almost exclusively for 1-2 procedure codes despite high total volume.
Bills primarily for code S9124 (2 unique codes).
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Billing Swing
Billing Swing means this provider's total billing changed dramatically from one year to the next — increasing or decreasing by more than 200% with over $1M in absolute change. This could indicate a change in practice scope, a billing scheme ramping up, or legitimate growth.
Explosive Growth
Explosive Growth means this provider's billing increased by more than 500% year-over-year. While rapid expansion can be legitimate, this pattern has been observed in fraud schemes that ramp up billing quickly before detection.
Single-Code
Single-Code Billing means this provider bills almost exclusively for one or two procedure codes despite high total volume. Legitimate specialists may focus on specific codes, but extreme concentration can indicate a scheme billing repeatedly for the same service.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Total Paid
$106.5M
$106,522,242
Total Claims
162K
Beneficiaries
7K
22.7 claims/patient
Avg Cost/Claim
$658
🔍 Analysis
Provider Overview
Peds to Go INC is a Registered Nurse Infusion Therapy provider based in Orlando, FL. From the 2018–2024 period, this provider received $106.5M in Medicaid payments across 162K claims.
Why This Matters
This provider received $106.5M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 13,315 Medicaid beneficiaries for a full year at average per-enrollee costs.
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