Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Revival Medical Supplies, INC.

Revival Medical Supplies, INC. was paid $2K by Medicaid between Aug 2022 and Jan 2023, across 5 billing codes. Its largest line is L0637, Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise — 53% of everything it billed.

33Billing provider infoREVIVAL MEDICAL SUPPLIES, INC.
FOUNTAIN VALLEY, CA 92708
33aNPI1154076404assigned 02/15/2022
28Total paid$2K
24GClaims490
24DCodes billed5
24AFirst – last monthAug 2022 – Jan 2023
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in California

Rank by total paid#620 of 946
Median peer was paid$15K
This provider vs. median0.1×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2022403$155.05
202387$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
L0637 Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 53% 94 94 $1K
L1843 Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 36% 165 85 $686.57
L0651 Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, off-the-shelf 8.1% 27 25 $155.05
L2397 Addition to lower extremity orthosis, suspension sleeve 2.9% 165 85 $55.98
L3916 Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf 0% 39 18 $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 officialALI, EMAD (CEO)