NP / PA
Restore Family Medical Clinic
Restore Family Medical Clinic was paid $803K by Medicaid between Feb 2019 and Nov 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoRESTORE FAMILY MEDICAL CLINIC
ANTLERS, OK 74523
ANTLERS, OK 74523
33aNPI1528545472assigned 07/24/2018
33bProvider typeFamily Nurse Practitioner
28Total paid$803K
24GClaims16,205
24DCodes billed29
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Oklahoma
Rank by total paid#14 of 74
Median peer was paid$109K
This provider vs. median7.4×
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 | |
|---|---|---|---|
| 2019 | 533 | $38K | |
| 2020 | 1,556 | $83K | |
| 2021 | 2,558 | $133K | |
| 2022 | 4,392 | $185K | |
| 2023 | 4,293 | $221K | |
| 2024incomplete | 2,873 | $143K |
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 | 45% | 3,570 | 3,111 | $360K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 4,297 | 3,875 | $325K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 5.0% | 1,917 | 1,690 | $40K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.9% | 157 | 157 | $23K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 656 | 637 | $10K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,239 | 1,183 | $7K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 120 | 116 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 41 | 41 | $4K |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 545 | 505 | $3K |
| 92551 | <1% | 287 | 287 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 18 | 17 | $3K |
| 96127 | <1% | 662 | 618 | $3K |
17 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 249 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 69 | $2K |
| 80305 | <1% | 168 | $2K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 924 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 17 | $2K |
| 99407 | <1% | 59 | $2K | |
| 99406 | <1% | 89 | $1K | |
| 99408 | <1% | 38 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 111 | $941.76 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 82 | $596.22 |
| 99173 | <1% | 185 | $452.60 | |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | <1% | 29 | $211.50 |
| 99188 | <1% | 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 | <1% | 13 | $99.01 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 28 | $97.80 |
| 96160 | <1% | 230 | $2.26 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 392 | $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 officialDRAPER, TERRY (PRESIDENT)