Medicaid Provider Spending

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

PRESTIGE MEDICAL CARE PROFESSIONAL CORPORATION

NPI: 1588290944 · PHOENIX, AZ 85013 · Family Nurse Practitioner · NPI assigned 03/18/2020

$30K
Total Medicaid Paid
788
Total Claims
629
Beneficiaries
3
Codes Billed
2021-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialALDAZ, CARLA (OWNER/PROVIDER)
NPI Enumeration Date03/18/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 13 $44.22
2022 139 $4K
2023 277 $11K
2024 359 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 759 605 $29K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17 12 $967.20
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $464.60