Providers

PRESTIGE MEDICAL SUPPLY INC

NPI 1366879603, organization, Jonesboro, AR, Durable Medical Equipment & Medical Supplies

1
Evidence tier
documented action, then payment
  • Listed on the Medicare revocation list since September 14, 2023.
  • Medicaid still paid claims in 14 later months, $450,238 in total.
  • Medicaid dollars per patient on code A4259 ($82 per patient-month) sit in the top 5% of every provider billing that code.
score 100 of 100, rank 7, $450K at stake

Public list actions

Medicare revocation effective September 14, 2023, barred from re-enrolling until November 21, 2026
424.535(a)(5) on-site review, DME Supplier - Medical Supply Company With Pedorthic Personnel, AR

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

listidentity checkaction datewindow closedmonths paid afterfirstlastpaid after12 months before
Medicare revocation list
424.535(a)(5) on-site review
Exact NPI, name verifiedSep 14, 2023Nov 21, 202614Oct 2023Nov 2024$450K$682K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NamePRESTIGE MEDICAL SUPPLY INC
TypeOrganization
StatusActive
NPI issuedOctober 1, 2013, last updated February 15, 2024
Practice location2301 CONGRESS CV, Jonesboro, AR 72401-2557, 877-472-1102
Authorized officialTERRY GENTRY (Owner)
Specialties
Durable Medical Equipment & Medical Supplies (332B00000X, primary)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
A4253Medicaid service code$2.7M73%$82$11 (top 5% from $66)98th percentile
A4259Medicaid service code$586K16%$18$3.24 (top 5% from $15)98th percentile
E0607Medicaid service code$218K6%$79$24 (top 5% from $77)97th percentile
L0650Medicaid service code$120K3%$695$550 (top 5% from $896)68th percentile
A4256Medicaid service code$25K1%$5.99$3.83 (top 5% from $9.10)75th percentile
K0553Medicaid service code$25K1%$233$61 (top 5% from $281)too few months to rank

In this area

2 providers in Craighead County, AR carry an indicator in the public record, with $213K at stake between them. The most common is more hours than a day holds, on 2 of them.

tierproviderat stakewhy
4JODIEE GRUBBS
Jonesboro, AR, ranked 8261
$206K
  • Hours beyond a day in 1 month, but with up to 1722 patients a month across 11 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4SARAH WALKER
Jonesboro, AR, ranked 9751
$7K
  • Hours beyond a day in 1 month, but with up to 27 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

Ask this case

Answers come only from the evidence tables, and every sentence cites the record it used.