Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Mansfield › NPI 1720662976
Physician

Restore Medical LLC

Restore Medical LLC was paid $12K by Medicaid between Mar 2022 and Jun 2023, across 3 billing codes. Its largest line is 99205, Prolong outpt/office vis — 89% of everything it billed.

33Billing provider infoRESTORE MEDICAL LLC
MANSFIELD, OH 44907
33aNPI1720662976assigned 05/12/2021
28Total paid$12K
24GClaims246
24DCodes billed3
24AFirst – last monthMar 2022 – Jun 2023
Compared with peers

Next to other General Practice Physician providers in Ohio

Rank by total paid#38 of 66
Median peer was paid$19K
This provider vs. median0.6×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2022209$11K
202337$856.46
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99205 Prolong outpt/office vis 89% 171 120 $11K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 7.1% 37 33 $856.46
72100 3.8% 38 25 $462.06

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 officialZAIKA, JEFF (MANAGER)