Medicaid Provider Spending

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

PRESTIGE PRIMARY CARE, PLLC

NPI: 1144797374 · QUEEN CREEK, AZ 85142 · Primary Care Nurse Practitioner · NPI assigned 10/25/2018

$12K
Total Medicaid Paid
204
Total Claims
169
Beneficiaries
1
Codes Billed
2021-09
First Month
2024-01
Last Month

Provider Details

Authorized OfficialEISENHART, CANDEE (OWNER)
NPI Enumeration Date10/25/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 31 $2K
2022 125 $7K
2023 30 $2K
2024 18 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 204 169 $12K