PRESTIGE FOOT & ANKLE CENTER LLC
NPI: 1700145372
· MEDINA, OH 44256
· 213ES0103X
$385K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,361 |
$53K |
| 2019 |
1,431 |
$51K |
| 2020 |
1,166 |
$31K |
| 2021 |
1,828 |
$61K |
| 2022 |
2,150 |
$68K |
| 2023 |
2,793 |
$76K |
| 2024 |
1,857 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
3,185 |
2,723 |
$96K |
| L3000 |
Ft insert ucb berkeley shell |
755 |
360 |
$94K |
| 73630 |
|
2,874 |
2,025 |
$46K |
| 11042 |
|
1,988 |
1,189 |
$40K |
| 11721 |
|
1,790 |
1,621 |
$27K |
| L3030 |
Foot arch support remov prem |
402 |
184 |
$26K |
| 99203 |
|
580 |
534 |
$25K |
| 99214 |
|
474 |
399 |
$19K |
| 11043 |
|
120 |
55 |
$6K |
| 73610 |
|
263 |
201 |
$4K |
| 99204 |
|
13 |
13 |
$963.27 |
| 99212 |
|
47 |
40 |
$840.53 |
| 97760 |
|
27 |
27 |
$815.19 |
| J3301 |
Triamcinolone acet inj nos |
34 |
25 |
$39.25 |
| J1100 |
Dexamethasone sodium phos |
34 |
25 |
$4.40 |