Is PREMIER KIDS CARE INC flagged for Medicaid fraud?

PREMIER KIDS CARE INC (NPI: 1902842545) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does PREMIER KIDS CARE INC bill Medicaid?

PREMIER KIDS CARE INC received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Pharmacy, Community/Retail Pharmacy provider. Located in HOLLYWOOD, FL.

What is NPI 1902842545?

NPI 1902842545 is the National Provider Identifier for PREMIER KIDS CARE INC. They are a Pharmacy, Community/Retail Pharmacy provider based in HOLLYWOOD, FL. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

PREMIER KIDS CARE INC

Pharmacy, Community/Retail Pharmacy·HOLLYWOOD, FL·NPI: 1902842545Share

Active Billing Period:2018-08→2024-12(77 months)

Total Paid

$53.1M

$53,126,472

Total Claims

167K

Beneficiaries

164K

1.0 claims/patient

Avg Cost/Claim

$318

Monthly Spending Trend

Yearly Spending

2018

$234K

+2685%

2019

$6.5M

+61%

2020

$10.5M

+5%

2021

$11.0M

-10%

2022

$9.9M

-19%

2023

$8.1M

-14%

2024

$6.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (A9276 (Breath test analyzer, FDA approved, disposable)) accounts for 66% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

A9276Breath test analyzer, FDA approved, disposableSee all providers →

$35.1M

101K claims

$347.13

$294.58

1.2×

Normal range

A9276Normal range

Breath test analyzer, FDA approved, disposable

$35.1M

101K claims · 66.0%

Your Cost: $347.13/claim|Median: $294.58

1.2× median

A9277Breath alcohol test, per administrationSee all providers →

$7.6M

18K claims

$411.67

$407.76

1.0×

Normal range

A9277Normal range

Breath alcohol test, per administration

$7.6M

18K claims · 14.3%

Your Cost: $411.67/claim|Median: $407.76

1.0× median

A9274External ambulatory insulin delivery system, disposableSee all providers →

$3.7M

9,427 claims

$394.14

$466.16

0.8×

Normal range

A9274Normal range

External ambulatory insulin delivery system, disposable

$3.7M

9,427 claims · 7.0%

Your Cost: $394.14/claim|Median: $466.16

0.8× median

A9278 See all providers →

$3.2M

5,877 claims

$547.90

$366.50

1.5×

Top 5%

A9278Top 5%

$3.2M

5,877 claims · 6.1%

Your Cost: $547.90/claim|Median: $366.50

1.5× median

A4230Infusion supplies, non-chemotherapy, per visitSee all providers →

$1.6M

11K claims

$148.82

$136.09

1.1×

Normal range

A4230Normal range

Infusion supplies, non-chemotherapy, per visit

$1.6M

11K claims · 3.0%

Your Cost: $148.82/claim|Median: $136.09

1.1× median

E0784External ambulatory infusion pump, insulinSee all providers →

$1.1M

312 claims

$3,677.60

$1,188.30

3.1×

Top 10%

E0784Top 10%

External ambulatory infusion pump, insulin

$1.1M

312 claims · 2.2%

Your Cost: $3,677.60/claim|Median: $1,188.30

3.1× median

A4232 See all providers →

$534K

12K claims

$44.85

$34.49

1.3×

Normal range

A4232Normal range

$534K

12K claims · 1.0%

Your Cost: $44.85/claim|Median: $34.49

1.3× median

A4231 See all providers →

$109K

1,018 claims

$107.27

$93.81

1.1×

Normal range

A4231Normal range

$109K

1,018 claims · 0.2%

Your Cost: $107.27/claim|Median: $93.81

1.1× median

A6257 See all providers →

$74K

3,891 claims

$18.91

$10.48

1.8×

Normal range

A6257Normal range

$74K

3,891 claims · 0.1%

Your Cost: $18.91/claim|Median: $10.48

1.8× median

A4239Supply allowance for non-insulin pump CGM, per monthSee all providers →

$42K

136 claims

$311.34

$73.75

4.2×

Top 5%

A4239Top 5%

Supply allowance for non-insulin pump CGM, per month

$42K

136 claims · 0.1%

Your Cost: $311.34/claim|Median: $73.75

4.2× median

A5120 See all providers →

$25K

3,534 claims

$6.96

$6.35

1.1×

Normal range

A5120Normal range

$25K

3,534 claims · 0.0%

Your Cost: $6.96/claim|Median: $6.35

1.1× median

A4456 See all providers →

$4K

650 claims

$5.59

$6.74

0.8×

Normal range

A4456Normal range

$4K

650 claims · 0.0%

Your Cost: $5.59/claim|Median: $6.74

0.8× median

A4362 See all providers →

$2K

81 claims

$23.62

$36.03

0.7×

Normal range

A4362Normal range

$2K

81 claims · 0.0%

Your Cost: $23.62/claim|Median: $36.03

0.7× median

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$175.3M

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