Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › MANSFIELD › RESTORE MEDICAL LLC

RESTORE MEDICAL LLC

NPI: 1720662976 · MANSFIELD, OH 44907 · General Practice Physician · NPI assigned 05/12/2021

$12K
Total Medicaid Paid
246
Total Claims
178
Beneficiaries
3
Codes Billed
2022-03
First Month
2023-06
Last Month

Provider Details

Authorized OfficialZAIKA, JEFF (MANAGER)
NPI Enumeration Date05/12/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 209 $11K
2023 37 $856.46

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99205 Prolong outpt/office vis 171 120 $11K
99202 37 33 $856.46
72100 38 25 $462.06