Medicaid Provider Spending

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

PRESTIGE MEDICAL P A

NPI: 1174654750 · MANVEL, TX 77578 · Primary Care Clinic/Center · NPI assigned 03/08/2007

$7K
Total Medicaid Paid
1,207
Total Claims
1,064
Beneficiaries
10
Codes Billed
2018-09
First Month
2024-02
Last Month

Provider Details

Authorized OfficialSANTHA, JEEVAN (PRACTICE MANAGER)
NPI Enumeration Date03/08/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28 $44.89
2019 55 $1K
2020 143 $2K
2021 500 $4K
2022 326 $0.00
2023 130 $0.00
2024 25 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 175 151 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 72 66 $2K
0012A 16 16 $78.39
0011A 20 17 $50.82
1036F 134 120 $0.00
36415 Collection of venous blood by venipuncture 57 52 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 392 341 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 267 235 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 46 40 $0.00
G8482 Influenza immunization administered or previously received 28 26 $0.00