RESTORE FAMILY MEDICAL CLINIC
NPI: 1528545472
· ANTLERS, OK 74523
· 363LF0000X
$803K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
533 |
$38K |
| 2020 |
1,556 |
$83K |
| 2021 |
2,558 |
$133K |
| 2022 |
4,392 |
$185K |
| 2023 |
4,293 |
$221K |
| 2024 |
2,873 |
$143K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
3,570 |
3,111 |
$360K |
| 99213 |
|
4,297 |
3,875 |
$325K |
| 96372 |
|
1,917 |
1,690 |
$40K |
| 99204 |
|
157 |
157 |
$23K |
| 87880 |
|
656 |
637 |
$10K |
| 36415 |
|
1,239 |
1,183 |
$7K |
| 87635 |
|
120 |
116 |
$6K |
| 99203 |
|
41 |
41 |
$4K |
| J2930 |
Methylprednisolone injection |
545 |
505 |
$3K |
| 92551 |
|
287 |
287 |
$3K |
| 99215 |
Prolong outpt/office vis |
18 |
17 |
$3K |
| 96127 |
|
662 |
618 |
$3K |
| 96110 |
|
249 |
249 |
$2K |
| 87804 |
|
69 |
68 |
$2K |
| 80305 |
|
168 |
155 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
924 |
876 |
$2K |
| 99393 |
|
17 |
17 |
$2K |
| 99407 |
|
59 |
55 |
$2K |
| 99406 |
|
89 |
87 |
$1K |
| 99408 |
|
38 |
37 |
$1K |
| 83036 |
|
111 |
110 |
$941.76 |
| J3301 |
Triamcinolone acet inj nos |
82 |
81 |
$596.22 |
| 99173 |
|
185 |
184 |
$452.60 |
| J2919 |
Inj, methylpred sod succ 5mg |
29 |
29 |
$211.50 |
| 99188 |
|
13 |
13 |
$136.89 |
| G0181 |
Home health care supervision |
13 |
13 |
$99.01 |
| J1885 |
Ketorolac tromethamine inj |
28 |
26 |
$97.80 |
| 96160 |
|
230 |
228 |
$2.26 |
| G0447 |
Behavior counsel obesity 15m |
392 |
378 |
$0.00 |