Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Michigan for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Michigan only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Michigan (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Pediatric Special Care, Inc. (NPI 1891745808)

Field	Value
Entity Type	Organization
Organization	Pediatric Special Care, Inc.
Address	22260 Haggerty Rd Ste 180
City	Northville
State	MI
ZIP	48167
Taxonomy	Nursing Care Agency
NPI Enumerated	May 11, 2006

Payer Source	Total Paid
Medicaid	$17.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	36,050	$410	$14.9M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	730	$810	$585.8K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	1,350	$200	$274.8K
S8189	Tracheostomy supply, not otherwise classified	680	$330	$224.1K
E1399	Durable medical equipment, miscellaneous	480	$450	$214.7K
A4624	Tracheal suction catheter, any type other than closed system, each	820	$190	$156.5K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	960	$140	$134.5K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	340	$300	$101.3K
A7520	Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each	860	$100	$84K
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	430	$150	$66.4K

Showing 1–10 of 39

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Michigan Distribution

Pediatric Special Care, Inc. — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

39 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	7	20	33,460	$380	$14M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	7	10	980	$790	$2.5M
A4927	Gloves, non-sterile, per 100	12	30	610	$10	$1.3M
E1399	Durable medical equipment, miscellaneous	10	20	500	$460	$1.2M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	138	170	3,410	$70	$473.6K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	11	20	650	$200	$397.3K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	17	50	450	$140	$348.3K
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	19	30	1,010	$150	$347.2K
S8189	Tracheostomy supply, not otherwise classified	3	10	490	$170	$344.2K
A4624	Tracheal suction catheter, any type other than closed system, each	6	10	570	$160	$253K

Showing 1–10 of 39

Nearby Providers

Other providers in the same ZIP code as Pediatric Special Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Imagine Center LLC	MI	Clinical Psychologist	$0	$6.2M
Living And Learning Enrichment Center	MI	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$5.8M
Dennis Engerer	MI	Physical Therapist	$236.1K	$0
Christopher Lovejoy	MI	Physical Therapist	$177.6K	$0
Woodward Detroit Cvs, L.L.C.	MI	Pharmacy	$161.7K	$0
Andrew Mechigian	MI	Foot & Ankle Surgery Podiatrist	$103.4K	$0
Ross Summers	MI	Family Medicine Physician	$102.5K	$0
Evangelos Drainas	MI	Physical Therapist	$81.8K	$0
Uzma Hussain	MI	Physical Therapist	$21.1K	$0
Ashley Houghteling	MI	Primary Care Nurse Practitioner	$6.7K	$0

Pediatric Special Care, Inc. — Billing Profile & Reimbursement Data

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Pediatric Special Care, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References