Prest, Luke

Prest, Luke was paid $27K by Medicaid between Oct 2019 and Jun 2020, across 9 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 30% of everything it billed.

33Billing provider infoPREST, LUKE
PAOLI, PA 19301

33aNPI1912369695assigned 03/22/2016

33bProvider typePediatrics Physician

28Total paid$27K

24GClaims867

24DCodes billed9

24AFirst – last monthOct 2019 – Jun 2020

Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#719 of 1,257

Median peer was paid$45K

This provider vs. median0.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2019	396	$10K
2020	471	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	30%	131	131	$8K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	30%	144	141	$8K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	29%	213	205	$8K
90723		3.3%	43	43	$903.00
90686		2.7%	138	138	$738.30
90670		1.9%	98	98	$524.30
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.7%	20	20	$470.41
90680		<1%	41	41	$219.35
90647		<1%	39	39	$208.65

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.