PEDIATRIC HOME CARE SERVICES LLC
Active Billing Period:2018-01→2024-12(84 months)
Extreme procedure concentration — 96% of $31.8M billed through just 2 codes
Total Paid
$31.8M
$31,757,484
Total Claims
42K
Beneficiaries
6,225
6.8 claims/patient
Avg Cost/Claim
$750
Monthly Spending Trend
Yearly Spending
2018
$2.0M
+89%
2019
$3.8M
+22%
2020
$4.6M
+1%
2021
$4.7M
-5%
2022
$4.5M
+24%
2023
$5.5M
+20%
2024
$6.6M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 2 distinct procedure codes. The top code (S9123 (Nursing care, in the home, by RN, per 15 minutes)) accounts for 96% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$30.5M
36K claims
$859.75
$124.86
6.9×
Top 5%
S9123Top 5%
Nursing care, in the home, by RN, per 15 minutes
$30.5M
36K claims · 96.2%
Your Cost: $859.75/claim|Median: $124.86
6.9× median$1.2M
6,835 claims
$177.75
$85.62
2.1×
Top 10%
T1030Top 10%
Nursing care, in the home, by RN, per diem
$1.2M
6,835 claims · 3.8%
Your Cost: $177.75/claim|Median: $85.62
2.1× median