Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

A PRESTIGE WELLNESS CENTER, PA

NPI: 1093969024 · DORAL, FL 33166 · Internal Medicine Physician · NPI assigned 11/04/2008

$55K
Total Medicaid Paid
3,531
Total Claims
2,782
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMARTINEZ, LUIS (OWNER)
NPI Enumeration Date11/04/2008

Related Entities

Other providers sharing the same authorized official: MARTINEZ, LUIS

ProviderCityStateTotal Paid
LUIS & TERESA MARTINEZ, INC. LAREDO TX $162K
OLD BRIDGE PEDIATRIC DENTISTRY LLC OLD BRIDGE NJ $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 403 $2K
2019 428 $2K
2020 34 $80.28
2021 695 $11K
2022 751 $13K
2023 624 $12K
2024 596 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99308 Subsequent nursing facility care, per day, straightforward 2,535 1,957 $47K
99305 105 100 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 279 256 $1K
99335 68 57 $1K
99223 Prolong inpt eval add15 m 25 24 $888.58
99232 Subsequent hospital care, per day, moderate complexity 76 38 $451.90
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 14 $91.68
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 234 204 $0.00
99307 74 27 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 121 105 $0.00