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PEDIATRIC SERVICES OF AMERICA, LLC

Nursing Care·BROCKTON, MA·NPI: 1619908985Share

Compared to Nursing Care Peers

Total spending distribution among 10 providers in this specialty

P25MedianP75P90

This provider's total spending of $47.8M is at the below 25th percentile among 10 Nursing Care providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$47.8M

$47,835,399

Total Claims

169K

Beneficiaries

8,685

19.5 claims/patient

Avg Cost/Claim

$283

Monthly Spending Trend

Yearly Spending

2018
$14.0M
-48%
2019
$7.3M
-16%
2020
$6.2M
-16%
2021
$5.2M
-2%
2022
$5.1M
+6%
2023
$5.3M
-11%
2024
$4.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (T1002 (RN services, per 15 minutes)) accounts for 54% of total spending.

T1002Top 10%

RN services, per 15 minutes

$26.1M

86K claims · 54.5%

Your Cost: $301.95/claim|Median: $37.42
8.1× median
T1003Top 25%

LPN/LVN services, per 15 minutes

$21.0M

81K claims · 44.0%

Your Cost: $261.33/claim|Median: $24.24
10.8× median
T1030Top 1%

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

$357K

162 claims · 0.7%

Your Cost: $2,206.45/claim|Median: $85.62
25.8× median
T1004Top 5%

Services of a qualified nursing aide, per 15 minutes

$253K

1,009 claims · 0.5%

Your Cost: $250.52/claim|Median: $50.30
5.0× median
G0156Top 25%

Home health aide services, per visit

$81K

531 claims · 0.2%

Your Cost: $152.43/claim|Median: $39.42
3.9× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$26K

377 claims · 0.1%

Your Cost: $69.49/claim|Median: $51.67
1.3× median