Medicaid Provider Spending

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

RESTORATIVE SPINE AND PAIN, INC.

NPI: 1588234447 · TEMPLETON, CA 93465 · Physical Medicine & Rehabilitation Physician · NPI assigned 07/01/2021

$406K
Total Medicaid Paid
10,146
Total Claims
9,855
Beneficiaries
13
Codes Billed
2022-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHADILAKSONO, MATTHEW (PHYSICIAN)
NPI Enumeration Date07/01/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 3,567 $173K
2023 4,741 $149K
2024 1,838 $84K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,887 4,653 $225K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 706 704 $69K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,096 2,068 $56K
95886 276 275 $31K
95913 27 27 $7K
76942 146 144 $6K
96160 1,299 1,287 $5K
20611 87 80 $2K
96127 257 255 $1K
20553 27 27 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 182 180 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15 15 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 141 140 $626.58