Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Alaska for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alaska only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Alaska (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Restore LLC (NPI 1134588528)

Field	Value
Entity Type	Organization
Organization	Restore LLC
Address	542 4th Ave Ste B101
City	Fairbanks
State	AK
ZIP	99701
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	February 15, 2016

Payer Source	Total Paid
Medicaid	$16.3M
Medicare	$0

Key Findings

This entity is effectively single-payer in practice: there is no Medicare billing on file while total Medicaid revenue is $16.3M, so all billed government revenue in the dataset is Medicaid-derived. Analysts should treat RESTORE LLC as a Medicaid-focused operator rather than a mixed Medicare/Medicaid practice.

Revenue is extremely concentrated in a small set of Medicaid codes: the precomputed top 3 codes account for 90.9% of the provider's total Medicaid revenue, with S9484 alone representing 73.1% of Medicaid revenue, H0047 at 14.0%, and H2036 at 3.8%. This concentration means a few service lines drive the vast majority of reimbursement.

The code mix indicates a service model centered on crisis intervention and substance-use treatment: S9484 is crisis intervention mental health services billed hourly (9K claims, $1323 avg paid/claim, $11.9M revenue), H0047 covers alcohol and/or other drug abuse services (3.8K claims, $610 avg paid/claim, $2.3M revenue), and H2036 is an alcohol/drug treatment program billed per diem (1.8K claims, $350 avg paid/claim, $623.4K revenue). Together these top codes point to an operation focused on high-volume crisis response and structured SUD programing rather than primarily routine outpatient medical visits.

RESTORE LLC is a dominant statewide provider for the crisis-intervention code S9484: it ranks #1 of 37 providers in-state (100th percentile) and is labeled an extreme outlier, meaning the provider’s volume for that service is far above typical state levels. For payers and network managers, this signals a single provider handling an outsized share of hourly crisis-intervention capacity in FAIRBANKS/Alaska.

By contrast, for other high-revenue SUD codes the provider is not a statewide leader: H0047 ranks #20 of 37 providers in-state (47th percentile) and is described as typical/unremarkable, while H2036 ranks #7 of 9 providers in-state (25th percentile) and is likewise typical. Those rankings indicate RESTORE’s market dominance is highly concentrated on the crisis-intervention line rather than broadly across all SUD service categories.

Operationally, the broader billed services show complementary programs beyond crisis hours: H0023 (behavioral health outreach) has 2.6K claims and $301.5K revenue (1.8% of total Medicaid revenue), H0015 (intensive outpatient) has 2.9K claims and $299.8K revenue (1.8%), and H0033 (oral medication administration, direct observation) has 4K claims and $267.5K revenue (1.6%). These quantities suggest RESTORE provides outreach, IOP-level care, and medication-assisted service components in addition to its dominant crisis-intervention offering.

The extreme concentration in S9484 ($11.9M revenue, 73.1% of Medicaid revenue) creates material exposure to reimbursement or policy changes affecting that single code or the crisis-intervention service model; any change to how S9484 is covered or valued would have outsized effects on RESTORE’s Medicaid revenue profile. Payers evaluating contract terms or rate changes should weigh that dependency explicitly.

The provider has an established billing history with an NPI enumerated on 2016-02-15 (~10 years ago), which, combined with $16.3M in Medicaid revenue and the service mix described above, indicates a decade-long, Medicaid-focused substance-use disorder and crisis-intervention operation in FAIRBANKS, AK. This tenure supports using observed patterns as representative of the provider’s current business model rather than a short-term anomaly.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9484	Crisis intervention mental health services, per hour	9,010	$1,320	$11.9M
H0047	Alcohol and/or other drug abuse services, not otherwise specified	3,760	$610	$2.3M
H2036	Alcohol and/or other drug treatment program, per diem	1,780	$350	$623.4K
H0023	Alcohol and/or drug outreach	2,600	$120	$301.5K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	2,940	$100	$299.8K
H0033	Oral medication administration, direct observation	3,990	$70	$267.5K
H2015	Comprehensive community support services, per 15 minutes	2,670	$90	$239.9K
H2011	Crisis intervention service, per 15 minutes	1,210	$200	$237.4K
T1016	Case management, each 15 minutes	1,290	$60	$74.6K
99408	The provider spends 15 to 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.	510	$40	$18.3K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alaska providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alaska Distribution

Restore LLC — 1 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. Alaska median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0047	Alcohol and/or other drug abuse services, not otherwise specified	20	40	4,130	$460	$3.6M
H2036	Alcohol and/or other drug treatment program, per diem	7	10	1,920	$410	$2.4M
H0033	Oral medication administration, direct observation	10	20	3,510	$60	$2.1M
H2015	Comprehensive community support services, per 15 minutes	44	60	4,510	$230	$1.8M
H2021	Community-based wrap-around services, per 15 minutes	60	80	1,070	$330	$1.3M
S9484	Crisis intervention mental health services, per hour	1	40	500	$580	$844.5K
T1016	Case management, each 15 minutes	50	90	1,620	$150	$606.4K
H0023	Alcohol and/or drug outreach	15	40	1,310	$180	$521.5K
H0038	Self‑help/peer services, per 15 minutes	13	10	1,120	$200	$442.1K
H2011	Crisis intervention service, per 15 minutes	5	20	160	$240	$407K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Restore LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tanana Chiefs Conference	AK	Multi-Specialty Clinic/Center	$0	$107.5M
Fairbanks Memorial Hospital, LLC	AK	General Acute Care Hospital	$0	$83.6M
Fairbanks Resource Agency Inc	AK	Community/Behavioral Health Agency	$0	$48M
Presbyterian Hospitality House	AK	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$34.9M
Fairbanks Native Association	AK	Substance Abuse Rehabilitation Facility	$0	$32.6M
Tanana Chiefs Confenerce	AK	Transportation Broker	$0	$24.1M
Tanana Chiefs Conference	AK	Community/Behavioral Health Agency	$0	$17M
Tanana Chiefs Conference	AK	Multi-Specialty Clinic/Center	$0	$16.3M
Tanana Valley Clinic LLC	AK	Multi-Specialty Clinic/Center	$0	$15.2M
Tanana Chiefs Conference	AK	Community/Behavioral Health Agency	$0	$14.2M

Restore LLC — Billing Profile & Reimbursement Data

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Restore LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References