PD Revival Medical, PLLC

PD Revival Medical, PLLC was paid $34K by Medicaid between Apr 2023 and Nov 2024, across 4 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 54% of everything it billed.

33Billing provider infoPD REVIVAL MEDICAL, PLLC
HELENA, MT 59601

33aNPI1124764030assigned 05/12/2022

33bProvider typeMedical Physician Assistant

28Total paid$34K

24GClaims278

24DCodes billed4

24AFirst – last monthApr 2023 – Nov 2024

Compared with peers

Next to other Medical Physician Assistant providers in Montana

Rank by total paid#2 of 7

Median peer was paid$28K

This provider vs. median1.2×

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
2023	203	$24K
2024incomplete	75	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	54%	121	76	$18K
99417	Prolong home eval add 15m	23%	97	63	$8K
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	19%	46	39	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.1%	14	12	$1K

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 officialPOWERS, HANNA (PMHNP)