Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

PRESCRIBED PEDIATRIC EXTENDED CARE, INC

Clinic/Center, Medically Fragile Infants and Children Day Care·BATON ROUGE, LA·NPI: 1760515977Share
Active Billing Period:2018-01→2024-11(82 months)

Total Paid

$40.3M

$40,254,475

Total Claims

281K

Beneficiaries

30K

9.4 claims/patient

Avg Cost/Claim

$143

Monthly Spending Trend

Yearly Spending

2018
$8.3M
+52%
2019
$12.5M
-30%
2020
$8.8M
-11%
2021
$7.8M
-84%
2022
$1.2M
-21%
2023
$962K
-31%
2024
$663K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (T1025 (Waiver services, NOS, per 15 minutes)) accounts for 89% of total spending.

T1025Normal range

Waiver services, NOS, per 15 minutes

$35.8M

207K claims · 88.8%

Your Cost: $173.05/claim|Median: $227.80
0.8× median
T1026Normal range

Waiver services, NOS, per diem

$2.1M

23K claims · 5.1%

Your Cost: $89.88/claim|Median: $146.05
0.6× median
97530Normal range

Therapeutic activities, each 15 min

$1.1M

21K claims · 2.6%

Your Cost: $49.53/claim|Median: $33.11
1.5× median
92507Normal range

Speech/hearing/language treatment

$726K

14K claims · 1.8%

Your Cost: $51.07/claim|Median: $49.45
1.0× median
97110Top 25%

Therapeutic exercises, each 15 min

$532K

11K claims · 1.3%

Your Cost: $50.40/claim|Median: $24.49
2.1× median
T2002Normal range

Non-emergency transport; per trip

$125K

4,891 claims · 0.3%

Your Cost: $25.60/claim|Median: $19.35
1.3× median
92523Normal range

Evaluation of speech sound production with language comprehension

$4K

76 claims · 0.0%

Your Cost: $50.38/claim|Median: $110.87
0.5× median
97163Normal range

PT evaluation, high complexity

$2K

33 claims · 0.0%

Your Cost: $49.50/claim|Median: $50.34
1.0× median
97164Top 25%

PT re-evaluation

$715

14 claims · 0.0%

Your Cost: $51.05/claim|Median: $32.66
1.6× median

Other Top Providers in Louisiana

View all →

Acadian Ambulance Service Inc.

Ambulance Air Transport

$422.7M

Lsu Health Sciences Center Shreveport Faculty Group Practice

Oral & Maxillofacial Surgery

$235.7M

Physicians Group Laboratories, LLC

Clinical Medical Laboratory

$208.1M

Our Lady of the Lake Hospital Inc.

General Acute Care Hospital

$205.7M

Ochsner Clinic Foundation

General Acute Care Hospital

$167.0M

← All providersAll providers in Louisiana →How we detect fraud →