Medicaid Provider Spending

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

RESTORE FAMILY MEDICAL CLINIC

NPI: 1528545472 · ANTLERS, OK 74523 · Family Nurse Practitioner · NPI assigned 07/24/2018

$803K
Total Medicaid Paid
16,205
Total Claims
14,843
Beneficiaries
29
Codes Billed
2019-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDRAPER, TERRY (PRESIDENT)
NPI Enumeration Date07/24/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,570 3,111 $360K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,297 3,875 $325K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,917 1,690 $40K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 157 157 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 656 637 $10K
36415 Collection of venous blood by venipuncture 1,239 1,183 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 120 116 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 41 41 $4K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 545 505 $3K
92551 287 287 $3K
99215 Prolong outpt/office vis 18 17 $3K
96127 662 618 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 249 249 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 69 68 $2K
80305 168 155 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 924 876 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 17 17 $2K
99407 59 55 $2K
99406 89 87 $1K
99408 38 37 $1K
83036 Hemoglobin; glycosylated (A1C) 111 110 $941.76
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 82 81 $596.22
99173 185 184 $452.60
J2919 Injection, methylprednisolone sodium succinate, 5 mg 29 29 $211.50
99188 13 13 $136.89
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 13 13 $99.01
J1885 Injection, ketorolac tromethamine, per 15 mg 28 26 $97.80
96160 230 228 $2.26
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 392 378 $0.00