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

PEDIATRIC PRIVATE DUTY NURSING, INC

Home Health·SAN ANTONIO, TX·NPI: 1821413287Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $50.1M is at the below 25th percentile among 322 Home Health providers.

Active Billing Period:2019-072024-12(52 months)

Extreme procedure concentration — 97% of $50.1M billed through just 2 codes

Total Paid

$50.1M

$50,077,371

Total Claims

104K

Beneficiaries

3,524

29.6 claims/patient

Avg Cost/Claim

$481

Monthly Spending Trend

Yearly Spending

2019
$88K
+3023%
2020
$2.7M
+372%
2021
$13.0M
-12%
2022
$11.5M
+4%
2023
$11.9M
-8%
2024
$10.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (T1000 (Private duty/independent nursing service(s))) accounts for 97% of total spending.

T1000Top 25%

Private duty/independent nursing service(s)

$48.8M

100K claims · 97.5%

Your Cost: $489.19/claim|Median: $402.76
1.2× median
S9124Normal range

Nursing care, in the home; per hour

$1.3M

4,420 claims · 2.5%

Your Cost: $287.18/claim|Median: $400.25
0.7× median