Agency
Prestige Healthcare Resources INC.
Prestige Healthcare Resources INC. was paid $55.74M by Medicaid between May 2018 and Dec 2024, across 28 billing codes. Its largest line is H0036, community psychiatric support and treatment, per 15 minutes — 62% of everything it billed.
33Billing provider infoPRESTIGE HEALTHCARE RESOURCES INC.
BLADENSBURG, MD 20710
BLADENSBURG, MD 20710
33aNPI1144516824assigned 06/22/2011
33bProvider typeCase Management Agency
28Total paid$55.74M
24GClaims762,116
24DCodes billed28
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Maryland
Rank by total paid#2 of 84
Median peer was paid$568K
This provider vs. median98×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SMITH, JOHN controls 20+ related entities in our dataset. Read more
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 | 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 | |
| 2024incomplete | 166,689 | $11.25M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 62% | 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 | 10% | 21,901 | 20,855 | $5.59M |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 8.0% | 36,565 | 2,954 | $4.44M |
| H0034 | Medication training and support, per 15 minutes | 7.5% | 61,513 | 23,151 | $4.19M |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 4.7% | 23,384 | 976 | $2.64M |
| 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 | 1.9% | 10,502 | 6,970 | $1.04M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1.5% | 16,261 | 4,399 | $820K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 1.2% | 9,639 | 4,713 | $692K |
| H2014 | Skills training and development, per 15 minutes | <1% | 17,812 | 2,151 | $397K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 3,417 | 1,567 | $347K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 2,500 | 1,841 | $216K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 3,988 | 2,445 | $169K |
16 more codes
| 90840 | <1% | 3,223 | $133K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 616 | $95K |
| H0040 | Assertive community treatment program, per diem | <1% | 28 | $53K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 204 | $29K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | <1% | 4,200 | $25K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 2,183 | $22K |
| 99205 | Prolong outpt/office vis | <1% | 89 | $16K |
| 96127 | <1% | 1,209 | $15K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 72 | $12K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 114 | $7K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 68 | $7K |
| H2027 | Psychoeducational service, per 15 minutes | <1% | 139 | $7K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 108 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 49 | $5K |
| 90845 | <1% | 37 | $4K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 665 | $3K |
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 officialSMITH, JOHN (PRESIDENT)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.