Physician
Revitalize Spine & Sports Care PLLC
Revitalize Spine & Sports Care PLLC was paid $1K by Medicaid between Sep 2022 and Sep 2022, across 1 billing code. Its largest line is 99215, doctor's office visit, returning patient (complex) — 100% of everything it billed.
33Billing provider infoREVITALIZE SPINE & SPORTS CARE PLLC
KENNEWICK, WA 99338
KENNEWICK, WA 99338
33aNPI1407430317assigned 05/06/2021
33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$1K
24GClaims15
24DCodes billed1
24AFirst – last monthSep 2022 – Sep 2022
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 | |
|---|---|---|---|
| 2022 | 15 | $1K |
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 | 100% | 15 | 14 | $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 officialGRONER, JOHN (OWNER / MD)