Medicaid Provider Spending

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

REVIVE MEDICAL SUPPLIES

NPI: 1467073098 · LOS ANGELES, CA 90006 · Durable Medical Equipment & Medical Supplies · NPI assigned 05/05/2020

$188K
Total Medicaid Paid
735
Total Claims
697
Beneficiaries
10
Codes Billed
2023-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJACOBSEN, CORY (CEO)
NPI Enumeration Date05/05/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 13 $1K
2024 722 $187K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1007 Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction 79 78 $121K
E2311 Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware 78 77 $31K
E2298 Complex rehabilitative power wheelchair accessory, power seat elevation system, any type 25 24 $9K
E2363 Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) 120 119 $9K
E2377 Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue 79 78 $6K
E1012 Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each 27 26 $5K
E2313 Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each 79 78 $3K
E0295 Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress 80 80 $2K
E1028 Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other 101 71 $1K
E0955 Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each 67 66 $628.26