Supplier
Revive Medical Supplies
Revive Medical Supplies was paid $188K by Medicaid between Oct 2023 and Nov 2024, across 10 billing codes. Its largest line is E1007, Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction — 64% of everything it billed.
33Billing provider infoREVIVE MEDICAL SUPPLIES
LOS ANGELES, CA 90006
LOS ANGELES, CA 90006
33aNPI1467073098assigned 05/05/2020
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$188K
24GClaims735
24DCodes billed10
24AFirst – last monthOct 2023 – Nov 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in California
Rank by total paid#311 of 946
Median peer was paid$15K
This provider vs. median12×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
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 | |
|---|---|---|---|
| 2023 | 13 | $1K | |
| 2024incomplete | 722 | $187K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1007 | Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction | 64% | 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 | 16% | 78 | 77 | $31K |
| E2298 | Complex rehabilitative power wheelchair accessory, power seat elevation system, any type | 4.9% | 25 | 24 | $9K |
| E2363 | Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) | 4.9% | 120 | 119 | $9K |
| E2377 | Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue | 3.3% | 79 | 78 | $6K |
| E1012 | Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each | 2.6% | 27 | 26 | $5K |
| E2313 | Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each | 1.8% | 79 | 78 | $3K |
| E0295 | Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress | <1% | 80 | 80 | $2K |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | <1% | 101 | 71 | $1K |
| E0955 | Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each | <1% | 67 | 66 | $628.26 |
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 officialJACOBSEN, CORY (CEO)