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    OpenPayerNPI Medicare & MedicaidPediatric Services Of America, LLC
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    Pediatric Services Of America, LLC — Billing Profile & Reimbursement Data

    NPI 1619908985 · Brockton, MA · Nursing Care Agency

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    Pediatric Services Of America, LLC is a nursing care agency provider located in Brockton, Massachusetts. This profile covers 0 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPediatric Services Of America, LLC
    Address1324 Belmont St Ste 204-205
    CityBrockton
    StateMA
    ZIP02301
    TaxonomyNursing Care Agency
    NPI EnumeratedJuly 5, 2006

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

    Payer SourceTotal Paid
    Medicaid$47.8M
    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1002Rn services, up to 15 minutes86,340$300$26.1M
    T1003Lpn/lvn services, up to 15 minutes80,550$260$21M
    T1030Nursing care, in the home, by registered nurse, per diem160$2,210$357.4K
    T1004Services of a qualified nursing aide, up to 15 minutes1,010$250$253.3K
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes530$150$80.7K
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes380$70$26K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Massachusetts median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1003Lpn/lvn services, up to 15 minutes42043,500$250$14.2M
    T1002Rn services, up to 15 minutes6403,550$290$10.9M
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes17519014,240$110$3.7M
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes2623108,710$40$1.6M
    T1004Services of a qualified nursing aide, up to 15 minutes8101,880$170$1.4M
    T1030Nursing care, in the home, by registered nurse, per diem1020180$830$477.7K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Pediatric Services Of America, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatric Services Of America, LLCCTHome Health Agency$0$92.9M
    Pediatric Services Of America, LLCPAHome Health Agency$0$34.9M
    Pediatric Services Of America, LLCFLHome Health Agency$0$33.5M
    Pediatric Services Of America, LLCNCNursing Care Agency$0$32.4M
    Pediatric Services Of America, LLCPAHome Health Agency$0$31.5M
    Pediatric Services Of America, LLCTXNursing Care Agency$0$31.3M
    Pediatric Services Of America, LLCPAHome Health Agency$0$30.3M
    Pediatric Services Of America, LLCMANursing Care Agency$0$29M
    Pediatric Services Of America, LLCWANursing Care Agency$0$26.8M
    Pediatric Services Of America, LLCPAHome Health Agency$0$25.1M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Commonwealth Of MassachusettsMACase Management Agency$0$309.8M
    Old Colony Elderly Services, Inc.MACase Management Agency$0$137.5M
    South Bay Mental Health Center, Inc.MAMental Health Clinic/Center (Including Community Mental Health Center)$0$112M
    Massachusetts Mentor LLCMAFoster Care Agency$0$95.6M
    Brockton Neighborhood Health CenterMAFederally Qualified Health Center (FQHC)$0$91.2M
    Sb Transitional Sub, LLCMAMental Health Clinic/Center (Including Community Mental Health Center)$0$84.8M
    Steward Good Samaritan Medical Center, Inc.MAGeneral Acute Care Hospital$0$64.2M
    South Bay Mental Health Center, Inc.MAAdolescent and Children Mental Health Clinic/Center$0$43.2M
    Sb Transitional Sub, LLCMAEarly Intervention Provider Agency$0$35.9M
    Healthier You Wellness Nutrition Partners Of Greater Boston, LLCMAHealth Maintenance Organization$0$33.8M

    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. Massachusetts Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Pediatric Services Of America, LLC — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts