Physician
Restorative Physical Medicine PLLC
Restorative Physical Medicine PLLC was paid $805K by Medicaid between Apr 2020 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoRESTORATIVE PHYSICAL MEDICINE PLLC
NOVI, MI 48375
NOVI, MI 48375
33aNPI1992334551assigned 04/06/2020
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$805K
24GClaims20,618
24DCodes billed31
24AFirst – last monthApr 2020 – Dec 2024
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in Michigan
Rank by total paid#7 of 48
Median peer was paid$102K
This provider vs. median7.9×
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
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 | |
|---|---|---|---|
| 2020 | 1,881 | $75K | |
| 2021 | 2,694 | $116K | |
| 2022 | 3,570 | $149K | |
| 2023 | 6,440 | $227K | |
| 2024incomplete | 6,033 | $238K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 31% | 4,000 | 3,833 | $249K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 18% | 3,662 | 982 | $149K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 2,704 | 2,640 | $107K |
| 99223 | Prolong inpt eval add15 m | 13% | 1,022 | 998 | $104K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.7% | 583 | 583 | $54K |
| 95886 | 2.7% | 371 | 266 | $22K | |
| 20610 | 2.5% | 829 | 798 | $20K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 2.1% | 902 | 302 | $17K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 2.0% | 964 | 279 | $16K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.9% | 1,156 | 336 | $15K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.3% | 963 | 261 | $11K |
| 76942 | 1.0% | 338 | 270 | $8K |
19 more codes
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 152 | $8K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,826 | $6K |
| 95909 | <1% | 53 | $4K | |
| 27096 | <1% | 40 | $3K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 53 | $3K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 398 | $2K |
| 99305 | <1% | 20 | $2K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 193 | $2K |
| 20553 | <1% | 64 | $1K | |
| 99442 | <1% | 64 | $787.95 | |
| 64450 | <1% | 16 | $746.17 | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 28 | $559.67 |
| 20611 | <1% | 12 | $415.31 | |
| 96132 | <1% | 15 | $304.28 | |
| 99441 | <1% | 35 | $269.28 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $76.06 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 49 | $55.91 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 28 | $33.02 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 64 | $15.74 |
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 officialKOVAN, ERIC (OWNER)