Is PEDIATRIC PRODUCTS, LLC flagged for Medicaid fraud?

PEDIATRIC PRODUCTS, LLC (NPI: 1669415394) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does PEDIATRIC PRODUCTS, LLC bill Medicaid?

PEDIATRIC PRODUCTS, LLC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Durable Medical Equipment & Medical Supplies provider. Located in CINCINNATI, OH.

What is NPI 1669415394?

NPI 1669415394 is the National Provider Identifier for PEDIATRIC PRODUCTS, LLC. They are a Durable Medical Equipment & Medical Supplies provider based in CINCINNATI, OH. This NPI is registered with the CMS NPI Registry.

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PEDIATRIC PRODUCTS, LLC

Durable Medical Equipment & Medical Supplies·CINCINNATI, OH·NPI: 1669415394Share

Compared to Durable Medical Equipment & Medical Supplies Peers

Total spending distribution among 35 providers in this specialty

P25MedianP75P90

This provider's total spending of $30.2M is at the below 25th percentile among 35 Durable Medical Equipment & Medical Supplies providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$30.2M

$30,207,953

Total Claims

550K

Beneficiaries

512K

1.1 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018

$4.0M

+20%

2019

$4.8M

-26%

2020

$3.6M

+14%

2021

$4.1M

+23%

2022

$5.0M

-2%

2023

$4.9M

-25%

2024

$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (E0603 (Breast pump, electric, any type)) accounts for 52% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

E0603Breast pump, electric, any typeSee all providers →

$15.8M

82K claims

$191.61

$131.70

1.5×

Top 25%

E0603Top 25%

Breast pump, electric, any type

$15.8M

82K claims · 52.2%

Your Cost: $191.61/claim|Median: $131.70

1.5× median

E0570Nebulizer, with compressorSee all providers →

$10.9M

167K claims

$65.22

$16.16

4.0×

Top 25%

E0570Top 25%

Nebulizer, with compressor

$10.9M

167K claims · 36.1%

Your Cost: $65.22/claim|Median: $16.16

4.0× median

A7005 See all providers →

$1.8M

133K claims

$13.69

$12.44

1.1×

Normal range

A7005Normal range

$1.8M

133K claims · 6.0%

Your Cost: $13.69/claim|Median: $12.44

1.1× median

A4627 See all providers →

$1.1M

48K claims

$22.82

$21.89

1.0×

Normal range

A4627Normal range

$1.1M

48K claims · 3.6%

Your Cost: $22.82/claim|Median: $21.89

1.0× median

A4287 See all providers →

$193K

6,084 claims

$31.69

$38.21

0.8×

Normal range

A4287Normal range

$193K

6,084 claims · 0.6%

Your Cost: $31.69/claim|Median: $38.21

0.8× median

E0202 See all providers →

$186K

2,640 claims

$70.62

$71.55

1.0×

Normal range

E0202Normal range

$186K

2,640 claims · 0.6%

Your Cost: $70.62/claim|Median: $71.55

1.0× median

A7015 See all providers →

$120K

107K claims

$1.12

$1.08

1.0×

Normal range

A7015Normal range

$120K

107K claims · 0.4%

Your Cost: $1.12/claim|Median: $1.08

1.0× median

K1005 See all providers →

$100K

2,831 claims

$35.27

$37.63

0.9×

Normal range

K1005Normal range

$100K

2,831 claims · 0.3%

Your Cost: $35.27/claim|Median: $37.63

0.9× median

A4614 See all providers →

$6K

444 claims

$12.80

$14.20

0.9×

Normal range

A4614Normal range

$6K

444 claims · 0.0%

Your Cost: $12.80/claim|Median: $14.20

0.9× median

S8101 See all providers →

$205

15 claims

$13.67

$23.46

0.6×

Normal range

S8101Normal range

$205

15 claims · 0.0%

Your Cost: $13.67/claim|Median: $23.46

0.6× median

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