Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Peds to Go INC

Registered Nurse Infusion Therapy

Orlando, Florida

NPI: 1609953066

Risk Tier

Critical

Total Paid

$106.5M

$106,522,242

Total Claims

162K

Beneficiaries

7K

Avg Cost/Claim

$658.02

Statistical Fraud Flags (3)

Billing Swing

Experienced over 200% change in year-over-year billing with >$1M absolute change.

Billing changed from $370K (2018) to $19.2M (2019) — a 5106% swing with $18.9M absolute change.

Explosive Growth

Billing increased over 500% year-over-year — far beyond normal growth patterns.

Billing grew 5106% from 2018 to 2019.

Single-Code

Billing almost exclusively for 1-2 procedure codes despite high total volume.

Bills primarily for code S9124 (2 unique codes).

Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.

Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024