NP / PA
Restoration Clinic
Restoration Clinic was paid $1.42M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoRESTORATION CLINIC
DECATUR, TN 37322
DECATUR, TN 37322
33aNPI1205248796assigned 06/02/2014
33bProvider typeFamily Nurse Practitioner
28Total paid$1.42M
24GClaims55,326
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Tennessee
Rank by total paid#12 of 687
Median peer was paid$15K
This provider vs. median97×
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 | |
|---|---|---|---|
| 2018 | 6,272 | $158K | |
| 2019 | 7,111 | $186K | |
| 2020 | 7,281 | $201K | |
| 2021 | 8,069 | $212K | |
| 2022 | 9,070 | $255K | |
| 2023 | 10,864 | $257K | |
| 2024incomplete | 6,659 | $148K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 49% | 16,466 | 13,646 | $702K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 12,260 | 9,996 | $385K |
| 99497 | 4.2% | 1,445 | 1,264 | $60K | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 4.1% | 638 | 569 | $59K |
| 80305 | 3.4% | 7,974 | 6,949 | $49K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.7% | 2,927 | 1,919 | $38K |
| 99443 | 2.1% | 756 | 652 | $29K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.6% | 437 | 404 | $23K |
| 99442 | 1.2% | 675 | 613 | $17K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 323 | 278 | $11K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,519 | 3,986 | $7K |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 1,397 | 1,214 | $6K |
31 more codes
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 681 | $5K |
| 99407 | <1% | 449 | $5K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,418 | $4K |
| 96160 | <1% | 460 | $3K | |
| 99384 | <1% | 26 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 104 | $2K |
| 99408 | <1% | 112 | $2K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 325 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 107 | $1K |
| 96127 | <1% | 349 | $947.60 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 16 | $857.69 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 41 | $781.36 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 26 | $619.32 |
| 99473 | <1% | 148 | $602.19 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 31 | $532.91 |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 42 | $496.17 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 41 | $492.63 |
| 99490 | Ccm add 20min | <1% | 68 | $477.41 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 250 | $441.66 |
| 93000 | <1% | 25 | $377.23 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 14 | $375.58 |
| 99406 | <1% | 15 | $140.81 | |
| 3074F | <1% | 212 | $140.00 | |
| 3079F | <1% | 159 | $120.00 | |
| 81025 | <1% | 17 | $88.66 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 159 | $72.23 |
| 99173 | <1% | 41 | $58.08 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 15 | $28.56 |
| 3078F | <1% | 19 | $10.00 | |
| G9286 | Antibiotic regimen prescribed within 10 days after onset of symptoms | 0% | 50 | $0.00 |
| G9584 | Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy | 0% | 89 | $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 officialROBERTS, ENGLISH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Medical Specialties PLLC | Decatur, TN | $19K |
| Restoration Clinic | Decatur, TN | $18K |
| Restoration Clinic | Decatur, TN | $233.22 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.