Clinic
Restoration Clinic
Restoration Clinic was paid $18K by Medicaid between Jul 2024 and Dec 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoRESTORATION CLINIC
DECATUR, TN 37322
DECATUR, TN 37322
33aNPI1174226757assigned 03/23/2023
33bProvider typePrimary Care Clinic/Center
28Total paid$18K
24GClaims1,087
24DCodes billed6
24AFirst – last monthJul 2024 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Tennessee
Rank by total paid#100 of 139
Median peer was paid$101K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2024incomplete | 1,087 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 46% | 288 | 240 | $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 | 27% | 136 | 106 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 16% | 289 | 114 | $3K |
| 80305 | 5.4% | 122 | 109 | $951.84 | |
| 99490 | Ccm add 20min | 3.5% | 30 | 25 | $617.33 |
| 36415 | Collection of venous blood by venipuncture | 1.5% | 222 | 190 | $265.55 |
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 officialROBERTS, ENGLISH (OWNER)
Parent organizationRESTORATION CLINIC
| Provider | Location | Paid |
|---|---|---|
| Restoration Clinic | Decatur, TN | $1.42M |
| Medical Specialties PLLC | Decatur, TN | $19K |
| Restoration Clinic | Decatur, TN | $233.22 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.