Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Restoration Medical Clinics, PC

Restoration Medical Clinics, PC was paid $4.00M by Medicaid between Jan 2018 and Aug 2024, across 15 billing codes. Its largest line is G0483, Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed — 48% of everything it billed.

33Billing provider infoRESTORATION MEDICAL CLINICS, PC
LEXINGTON, NC 27292
33aNPI1174068837assigned 01/04/2017
33bProvider typeAnesthesiology Physician
28Total paid$4.00M
24GClaims76,238
24DCodes billed15
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers

Next to other Anesthesiology Physician providers in North Carolina

Rank by total paid#2 of 52
Median peer was paid$26K
This provider vs. median153×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201822,678$1.25M
201920,897$1.22M
202012,965$669K
202110,288$561K
20225,926$269K
20231,988$9K
2024incomplete1,496$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 48% 18,640 12,255 $1.92M
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 32% 30,596 19,776 $1.26M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 18% 18,824 12,367 $715K
99199 Unlisted special service, procedure or report <1% 5,776 3,769 $33K
99205 Prolong outpt/office vis <1% 414 304 $31K
99336 <1% 791 382 $20K
99443 <1% 348 247 $10K
99442 <1% 279 167 $4K
99441 <1% 187 78 $1K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 27 16 $951.72
80305 <1% 223 120 $827.46
36415 Collection of venous blood by venipuncture <1% 86 65 $134.36
3 more codes
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 18 $132.70
90674 <1% 13 $102.20
G0008 Administration of influenza virus vaccine 0% 16 $0.00

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.

From NPPES

Who's on the registration

Authorized officialPLUMMER, CHARLES (PRESIDENT)