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PEDIATRIC SERVICES OF AMERICA, LLC

Home Health·PLYMOUTH, MA·NPI: 1770972853Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.9M is at the below 25th percentile among 322 Home Health providers.

Active Billing Period:2018-092024-12(76 months)

Total Paid

$21.9M

$21,881,045

Total Claims

83K

Beneficiaries

3,860

21.4 claims/patient

Avg Cost/Claim

$265

Monthly Spending Trend

Yearly Spending

2018
$978K
+306%
2019
$4.0M
-2%
2020
$3.9M
-23%
2021
$3.0M
-3%
2022
$2.9M
+9%
2023
$3.1M
+27%
2024
$4.0M

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 63% of total spending.

T1002Top 10%

RN services, per 15 minutes

$13.7M

49K claims · 62.7%

Your Cost: $278.72/claim|Median: $37.42
7.4× median
T1003Top 25%

LPN/LVN services, per 15 minutes

$7.3M

31K claims · 33.3%

Your Cost: $231.57/claim|Median: $24.24
9.6× median
T1004Top 1%

Services of a qualified nursing aide, per 15 minutes

$643K

1,694 claims · 2.9%

Your Cost: $379.63/claim|Median: $50.30
7.5× median
T1030Top 5%

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

$229K

110 claims · 1.0%

Your Cost: $2,080.50/claim|Median: $85.62
24.3× median