Supplier
Prestige Specialty Pharmacy LLC
Prestige Specialty Pharmacy LLC was paid $0.00 by Medicaid between Feb 2023 and Mar 2023, across 1 billing code. Its largest line is K1034, Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count — 0% of everything it billed.
33Billing provider infoPRESTIGE SPECIALTY PHARMACY LLC
STERLING HEIGHTS, MI 48310
STERLING HEIGHTS, MI 48310
33aNPI1306340955assigned 03/20/2018
33bProvider typeCompounding Pharmacy
28Total paid$0.00
24GClaims119
24DCodes billed1
24AFirst – last monthFeb 2023 – Mar 2023
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 | |
|---|---|---|---|
| 2023 | 119 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 0% | 119 | 118 | $0.00 |
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 officialCYPRUS, PAUL (MEMBER)