Medicaid Provider Spending

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

PRESTIGE MEDICAL LLC

NPI: 1629452123 · MOBILE, AL 36609 · Clinic/Center · NPI assigned 07/14/2015

$670.44
Total Medicaid Paid
390
Total Claims
296
Beneficiaries
4
Codes Billed
2020-01
First Month
2020-11
Last Month

Provider Details

Authorized OfficialNORRIS, BRIAN (OWNER)
NPI Enumeration Date07/14/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 390 $670.44

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 266 175 $670.44
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 14 14 $0.00
99215 Prolong outpt/office vis 36 33 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 74 74 $0.00