Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

RESTORE FAMILY MEDICAL CLINIC II

NPI: 1194405308 · HUGO, OK 74743 · Family Nurse Practitioner · NPI assigned 07/21/2023

$46K
Total Medicaid Paid
659
Total Claims
556
Beneficiaries
5
Codes Billed
2023-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPHILLIPS, KENDALL (OWNER/OPERATOR)
NPI Enumeration Date07/21/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 27 $2K
2024 632 $44K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 488 396 $36K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 86 81 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 46 40 $846.94
36415 Collection of venous blood by venipuncture 26 26 $204.10