Medicaid Provider Spending

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

REVITALIZE SPINE & SPORTS CARE PLLC

NPI: 1407430317 · KENNEWICK, WA 99338 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI assigned 05/06/2021

$1K
Total Medicaid Paid
15
Total Claims
14
Beneficiaries
1
Codes Billed
2022-09
First Month
2022-09
Last Month

Provider Details

Authorized OfficialGRONER, JOHN (OWNER / MD)
NPI Enumeration Date05/06/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 15 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 15 14 $1K