Physician
A Prestige Wellness Center, PA
A Prestige Wellness Center, PA was paid $55K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 85% of everything it billed.
33Billing provider infoA PRESTIGE WELLNESS CENTER, PA
DORAL, FL 33166
DORAL, FL 33166
33aNPI1093969024assigned 11/04/2008
33bProvider typeInternal Medicine Physician
28Total paid$55K
24GClaims3,531
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in Florida
Rank by total paid#306 of 1,247
Median peer was paid$9K
This provider vs. median6.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 403 | $2K | |
| 2019 | 428 | $2K | |
| 2020 | 34 | $80.28 | |
| 2021 | 695 | $11K | |
| 2022 | 751 | $13K | |
| 2023 | 624 | $12K | |
| 2024incomplete | 596 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 85% | 2,535 | 1,957 | $47K |
| 99305 | 7.7% | 105 | 100 | $4K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.3% | 279 | 256 | $1K |
| 99335 | 2.2% | 68 | 57 | $1K | |
| 99223 | Prolong inpt eval add15 m | 1.6% | 25 | 24 | $888.58 |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 76 | 38 | $451.90 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 14 | 14 | $91.68 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 234 | 204 | $0.00 |
| 99307 | 0% | 74 | 27 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 121 | 105 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMARTINEZ, LUIS (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Luis & Teresa Martinez, INC. | Laredo, TX | $162K |
| Old Bridge Pediatric Dentistry LLC | Old Bridge, NJ | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.