Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MS › FLOWOOD › REVITALIZE HYDRATION THERAPY, LLC

REVITALIZE HYDRATION THERAPY, LLC

NPI: 1285261123 · FLOWOOD, MS 39232 · 363LG0600X

$192.08
Total Medicaid Paid
17
Total Claims
12
Beneficiaries
1
Codes Billed
2024-10
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 17 $192.08

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96365 17 12 $192.08