Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PRESTIGE SPINE WEST LITTLE ROCK LLC

NPI: 1518539659 · LITTLE ROCK, AR 72223 · Pain Clinic/Center · NPI assigned 07/16/2021

$1K
Total Medicaid Paid
34
Total Claims
26
Beneficiaries
2
Codes Billed
2022-08
First Month
2022-11
Last Month

Provider Details

Authorized OfficialJOHNSON, APRIL (MANAGER)
NPI Enumeration Date07/16/2021

Related Entities

Other providers sharing the same authorized official: JOHNSON, APRIL

ProviderCityStateTotal Paid
PRESTIGE SPINE INTERVENTIONAL PAIN MANAGEMENT, LLC CONWAY AR $31K
KONA CARDIOVASCULAR INC KAILUA KONA HI $17K
ISLAND HEART CARE LLC KAILUA KONA HI $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 34 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 13 $792.20
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18 13 $289.68