REVIVE PAIN & SPINE CENTER INC
NPI: 1063991685
· CARMICHAEL, CA 95608
· Pain Medicine (Physical Medicine & Rehabilitation) Physician
· NPI assigned 08/14/2018
$159K
Total Medicaid Paid
Provider Details
| Authorized Official | KHAN, AKBAR (PRESIDENT OF CORPORATION) |
| NPI Enumeration Date | 08/14/2018 |
Related Entities
Other providers sharing the same authorized official: KHAN, AKBAR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
121 |
$5K |
| 2020 |
1,345 |
$45K |
| 2021 |
1,079 |
$53K |
| 2022 |
660 |
$29K |
| 2023 |
433 |
$17K |
| 2024 |
222 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,124 |
2,960 |
$109K |
| 99205 |
Prolong outpt/office vis |
220 |
219 |
$20K |
| 99215 |
Prolong outpt/office vis |
211 |
205 |
$11K |
| 27096 |
|
41 |
41 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
121 |
121 |
$6K |
| 64483 |
|
18 |
17 |
$2K |
| 77003 |
|
90 |
90 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23 |
23 |
$422.40 |
| 99152 |
|
12 |
12 |
$161.96 |