Medicaid Provider Spending

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

PRESTIGE PHYSICIANS SERVICES, PLLC

NPI: 1134233497 · CORNWALL, NY 12518 · Family Medicine Physician · NPI assigned 08/17/2006

$1K
Total Medicaid Paid
41
Total Claims
37
Beneficiaries
2
Codes Billed
2021-03
First Month
2022-10
Last Month

Provider Details

Authorized OfficialDIAMOND, RICHARD (OWNER)
NPI Enumeration Date08/17/2006

Related Entities

Other providers sharing the same authorized official: DIAMOND, RICHARD

ProviderCityStateTotal Paid
ISHIMARU MEDICAL SERVICES LLC CHESTER WV $743.06

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 16 $61.00
2022 25 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12 12 $1K
99401 29 25 $95.44