Physician

Alayna Prest, M.D.

According to 2025 Medicare claims, Alayna Prest, M.D. (NPI: 1396194288) practices emergency medicine in the Muskegon-Norton Shores, MI market, with the plurality of this provider's patient population coming from Muskegon, MI. This provider's primary affiliated billing organization is LAKE MICHIGAN EMERGENCY SPECIALISTS, PLLC (NPI: 1124574520; TIN: 813562771) and primary practice location at 49444-9998. Prest is affiliated with the Trinity Health Integrated Care (ACO ID: A3454), participating under the MSSP model.

Prest's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 243 traditional Medicare patients, billed 273 HCPCS/CPT codes, and received $29,296 in Medicare payments. The top billing code was 99291 (Critical care, first 30-74 minutes). Part D data shows 185 prescription claims across 139 beneficiaries totaling $7,056 in drug costs, led by Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav). No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $11,342 and ending at $29,296. Concurrently, Part D prescription costs have risen steadily, from $643 to $7,056. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	89	127	$11,342
2020	320	507	$45,562
2021	202	309	$27,165
2022	157	240	$21,677
2023	183	234	$22,981
2024	243	273	$29,296

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	20	28	$643
2017	49	64	$476
2018	41	51	$528
2019	44	59	$643
2020	72	114	$3,862
2021	48	73	$2,777
2022	63	92	$1,812
2023	141	203	$5,373
2024	139	185	$7,056

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99291	Critical care, first 30-74 minutes	21	21	$148
99285	Emergency department visit with high level of medical decision making	133	135	$134
99284	Emergency department visit with moderate level of medical decision making	76	76	$83

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Amoxicillin-Clavulanate Potass	Amoxicillin/Potassium Clav	20	146	$127
Cephalexin	Cephalexin	17	110	$92
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	23	71	$61
Azithromycin	Azithromycin	12	49	$39
Prednisone	Prednisone	16	80	$22

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Alayna Prest, M.D.?

Tedicare shows public-source Medicare data for Alayna Prest, M.D. (NPI 1396194288), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Alayna Prest, M.D. have ACO affiliation data?

Alayna Prest, M.D. is shown with ACO affiliation data for Trinity Health Integrated Care (MSSP, ACO ID A3454).

What billing organization is linked to Alayna Prest, M.D.?

Alayna Prest, M.D. is linked to LAKE MICHIGAN EMERGENCY SPECIALISTS, PLLC (billing NPI 1124574520) in the available physician profile data.

Does Alayna Prest, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.