PRESTIGE PRIMARY CARE, P.A.
NPI: 1912248881
· DALLAS, TX 75254
· 207R00000X
$145K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
117 |
$0.00 |
| 2020 |
1,967 |
$83K |
| 2021 |
1,220 |
$19K |
| 2022 |
968 |
$21K |
| 2023 |
505 |
$20K |
| 2024 |
21 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99423 |
|
1,533 |
409 |
$80K |
| 99214 |
|
1,609 |
1,436 |
$62K |
| G0180 |
Md certification hha patient |
684 |
681 |
$2K |
| 93000 |
|
98 |
96 |
$868.46 |
| 99457 |
|
275 |
274 |
$318.60 |
| 90756 |
|
23 |
20 |
$265.44 |
| 99487 |
Ccm add 20min |
38 |
38 |
$145.59 |
| 99458 |
|
37 |
37 |
$41.17 |
| 99211 |
|
16 |
15 |
$0.12 |
| 99454 |
|
105 |
103 |
$0.00 |
| G0396 |
Alcohol/subs interv 15-30mn |
16 |
15 |
$0.00 |
| 99349 |
|
21 |
18 |
$0.00 |
| G0008 |
Admin influenza virus vac |
16 |
16 |
$0.00 |
| 93922 |
|
14 |
14 |
$0.00 |
| G0179 |
Md recertification hha pt |
101 |
101 |
$0.00 |
| 95923 |
|
14 |
14 |
$0.00 |
| 99490 |
Ccm add 20min |
36 |
36 |
$0.00 |
| 3288F |
|
16 |
15 |
$0.00 |
| G0181 |
Home health care supervision |
57 |
57 |
$0.00 |
| G0444 |
Depression screen annual |
16 |
15 |
$0.00 |
| 95921 |
|
14 |
14 |
$0.00 |
| 93925 |
|
13 |
13 |
$0.00 |
| 96160 |
|
16 |
15 |
$0.00 |
| 99401 |
|
13 |
12 |
$0.00 |
| 99212 |
|
17 |
17 |
$0.00 |