Supplier
Restore RX INC
Restore RX INC was paid $13.71M by Medicaid between Aug 2018 and Dec 2024, across 8 billing codes. Its largest line is Q9992, Injection, buprenorphine extended-release (sublocade), greater than 100 mg — 39% of everything it billed.
33Billing provider infoRESTORE RX INC
BRUNSWICK, TN 38014
BRUNSWICK, TN 38014
33aNPI1942453220assigned 10/30/2008
33bProvider typeSpecialty Pharmacy
28Total paid$13.71M
24GClaims7,391
24DCodes billed8
24AFirst – last monthAug 2018 – Dec 2024
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 374 | $471K | |
| 2019 | 487 | $1.16M | |
| 2020 | 166 | $533K | |
| 2021 | 272 | $859K | |
| 2022 | 1,720 | $2.39M | |
| 2023 | 2,661 | $5.17M | |
| 2024incomplete | 1,711 | $3.12M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Q9992 | Injection, buprenorphine extended-release (sublocade), greater than 100 mg | 39% | 3,115 | 2,664 | $5.40M |
| Q9991 | Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg | 26% | 2,023 | 1,748 | $3.63M |
| J1726 | Injection, hydroxyprogesterone caproate, (makena), 10 mg | 22% | 1,299 | 961 | $3.03M |
| S0013 | Esketamine, nasal spray, 1 mg | 7.3% | 510 | 291 | $1.01M |
| J0578 | Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy | 4.6% | 369 | 342 | $631K |
| J0577 | Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy | <1% | 19 | 12 | $9K |
| J0576 | Injection, buprenorphine extended-release (brixadi), 1 mg | <1% | 33 | 26 | $4K |
| C9154 | Injection, buprenorphine extended-release (brixadi), 1 mg | 0% | 23 | 13 | $0.00 |
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 officialRYAN, NATALIE (GENERAL MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Value Specialty Pharmacy LLC | Altoona, PA | $908.05 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.