Medicaid Provider Spending

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

PRESTIGE HEALTHCARE RESOURCES INC.

NPI: 1144516824 · BLADENSBURG, MD 20710 · Case Management Agency · NPI assigned 06/22/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SMITH, JOHN controls 20+ related entities in our dataset. Read more

$55.74M
Total Medicaid Paid
762,116
Total Claims
119,557
Beneficiaries
28
Codes Billed
2018-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, JOHN (PRESIDENT)
NPI Enumeration Date06/22/2011

Related Entities

Other providers sharing the same authorized official: SMITH, JOHN

ProviderCityStateTotal Paid
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $44.35M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $11.62M
PROACT DENTAL, INC. BIRMINGHAM AL $9.47M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $8.33M
DUKE UNIVERSITY HEALTH SYSTEM INC RALEIGH NC $7.84M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $7.61M
WISHON RADIOLOGICAL MEDICAL GROUP, INC. FRESNO CA $5.11M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $5.01M
DUKE UNIVERSITY HEALTH SYSTEM, INC. RALEIGH NC $4.15M
LIGHTHOUSE SYSTEMS, LLC PHARR TX $3.54M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $1.59M
OLD SCHOOL LLC LAKEWOOD OH $800K
GATEWAY MEDICAL GROUP LC OKEECHOBEE FL $447K
TRIANGLE GERIATRIC AND MEMORY CLINIC, PLLC CARY NC $437K
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $289K
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $118K
ASSOCIATED HEALTH SERVICES, INC. DURHAM NC $102K
DUKE HEALTH INTEGRATED PRACTICE, INC. DURHAM NC $64K
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $49K
WOMEN'S IMAGING SPECIALISTS IN HEALTHCARE FRESNO CA $36K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,832 $824K
2019 20,254 $2.61M
2020 29,900 $3.85M
2021 43,026 $5.29M
2022 154,177 $13.84M
2023 341,238 $18.07M
2024 166,689 $11.25M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 541,630 43,314 $34.76M
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 21,901 20,855 $5.59M
H0039 Assertive community treatment, face-to-face, per 15 minutes 36,565 2,954 $4.44M
H0034 Medication training and support, per 15 minutes 61,513 23,151 $4.19M
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 23,384 976 $2.64M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,502 6,970 $1.04M
H0004 Behavioral health counseling and therapy, per 15 minutes 16,261 4,399 $820K
T1017 Targeted case management, each 15 minutes 9,639 4,713 $692K
H2014 Skills training and development, per 15 minutes 17,812 2,151 $397K
90837 Psychotherapy, 53 minutes with patient 3,417 1,567 $347K
90791 Psychiatric diagnostic evaluation 2,500 1,841 $216K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 3,988 2,445 $169K
90840 3,223 825 $133K
90792 Psychiatric diagnostic evaluation with medical services 616 567 $95K
H0040 Assertive community treatment program, per diem 28 25 $53K
99215 Prolong outpt/office vis 204 183 $29K
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 4,200 794 $25K
H0005 Alcohol and/or drug services; group counseling by a clinician 2,183 313 $22K
99205 Prolong outpt/office vis 89 56 $16K
96127 1,209 938 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 72 68 $12K
90834 Psychotherapy, 45 minutes with patient 114 55 $7K
H2011 Crisis intervention service, per 15 minutes 68 60 $7K
H2027 Psychoeducational service, per 15 minutes 139 40 $7K
90832 Psychotherapy, 30 minutes with patient 108 74 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 49 36 $5K
90845 37 27 $4K
90853 Group psychotherapy (other than of a multiple-family group) 665 160 $3K