Medicaid Provider Spending

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

LIFERESTORE MD USA LLC

NPI: 1922542075 · DALLAS, TX 75246 · Multi-Specialty Clinic/Center · NPI assigned 12/08/2016

$4K
Total Medicaid Paid
148
Total Claims
144
Beneficiaries
6
Codes Billed
2021-12
First Month
2022-01
Last Month

Provider Details

Authorized OfficialAKINA, DAVID (OWNER)
NPI Enumeration Date12/08/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 47 $316.47
2022 101 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 19 19 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 40 39 $875.50
0001A 30 28 $648.25
0071A 17 17 $574.00
99000 26 25 $147.96
91300 16 16 $21.00