Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

REVIVAL RECOVERY CENTER STAFFING LLC

NPI: 1184398331 · HIGHLAND, MI 48357 · Family Nurse Practitioner · NPI assigned 08/02/2021

$161K
Total Medicaid Paid
3,290
Total Claims
2,790
Beneficiaries
6
Codes Billed
2022-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPERNA, LISA (OWNER, AUTHORIZED OFFICIAL)
NPI Enumeration Date08/02/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 817 $47K
2023 1,305 $62K
2024 1,168 $52K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,545 1,279 $107K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 904 780 $34K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 228 173 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 80 79 $7K
96127 486 437 $513.80
G2011 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes 47 42 $189.39