Medicaid Provider Spending

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

4 2 RESTORE, LLC

NPI: 1912401183 · WINDSOR MILL, MD 21244 · Adolescent and Children Mental Health Clinic/Center · NPI assigned 03/21/2018

$7K
Total Medicaid Paid
102
Total Claims
45
Beneficiaries
2
Codes Billed
2021-05
First Month
2021-06
Last Month

Provider Details

Authorized OfficialMARTIN, DEADRA (OWNER/PROGRAM COORDINATOR)
NPI Enumeration Date03/21/2018

Related Entities

Other providers sharing the same authorized official: MARTIN, DEADRA

ProviderCityStateTotal Paid
4 2 RESTORE DRUG & ALCOHOL RECOVERY CENTER BALTIMORE MD $7.47M
4 2 RESTORE LLC WINDSOR MILL MD $1.38M
4 2 RESTORE LLC WINDSOR MILL MD $611K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 102 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90834 Psychotherapy, 45 minutes with patient 79 32 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23 13 $2K