Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidPediatric Plus Home Healthcare Services LLC
    Ask Trek AI about this page

    Pediatric Plus Home Healthcare Services LLC — Billing Profile & Reimbursement Data

    NPI 1275846909 · Jeffersonville, IN · Home Health Agency

    Customize your policy alerts

    Sign up for Pediatric Plus Home Healthcare Services LLC — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Pediatric Plus Home Healthcare Services LLC is a home health agency provider located in Jeffersonville, Indiana. This profile covers 0 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 7

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPediatric Plus Home Healthcare Services LLC
    Address925 Main St
    CityJeffersonville
    StateIN
    ZIP47130
    TaxonomyHome Health Agency
    NPI EnumeratedJuly 22, 2010

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$8.3M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99600Use 99600 to report a home visit service or procedure that does not have a specific code.24,340$340$8.3M
    T1005Respite care services, up to 15 minutes270$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Indiana median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99600Use 99600 to report a home visit service or procedure that does not have a specific code.4813015,770$110$3.9M
    T1005Respite care services, up to 15 minutes1930860$130$413.7K

    Nearby Providers

    Other providers in the same ZIP code as Pediatric Plus Home Healthcare Services LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Optum Pharmacy 702, LLCINCommunity/Retail Pharmacy$0$55.1M
    Lifespring, IncINCommunity/Behavioral Health Agency$0$53.5M
    Maxim Healthcare Services, Inc.INHome Health Agency$0$30.1M
    Lifespring, IncINCommunity/Behavioral Health Agency$0$21.6M
    Norton Clark Hospital, LLCINGeneral Acute Care Hospital$0$19.7M
    North Clark Medical Group LLCINGeneral Practice Physician$0$16.1M
    Pax Riverbend LLCINSubstance Use Disorder Rehabilitation Clinic/Center$0$8M
    Utica Township Volunteer Fire Fighters AssociationINLand Ambulance$1.6M$4.9M
    Eye Associates Of Southern Indiana PCINOphthalmology Physician$0$6.4M
    Kids Dentistry-jeffersonville, LLCINDental Clinic/Center$0$6.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Indiana Providers
    3 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Indiana Distribution
    Pediatric Plus Home Healthcare Services LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana