Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SUMMERSVILLE
› PRENDERGAST, EDMUND
PRENDERGAST, EDMUND
NPI: 1134165251 · SUMMERSVILLE, WV 26651 ·
152W00000X
$143K
Total Medicaid Paid
3,193
Total Claims
3,160
Beneficiaries
5
Codes Billed
2018-01
First Month
2022-06
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
1,109
$53K
2019
684
$30K
2020
653
$29K
2021
542
$22K
2022
205
$8K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
92014
1,105
1,097
$68K
V2020
Vision svcs frames purchases
552
546
$34K
92015
1,142
1,126
$20K
V2103
Spherocylindr 4.00d/12-2.00d
379
376
$20K
92004
15
15
$1K