REVIVE MEDICAL SUPPLIES
NPI: 1467073098
· LOS ANGELES, CA 90006
· 332B00000X
$188K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
13 |
$1K |
| 2024 |
722 |
$187K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| E1007 |
Pwr seat combo w/shear |
79 |
78 |
$121K |
| E2311 |
Electro connect btw 2 sys |
78 |
77 |
$31K |
| E2298 |
Pwr seat elev sys for crt |
25 |
24 |
$9K |
| E2363 |
Gr24 sealed leadacid battery |
120 |
119 |
$9K |
| E2377 |
Expandable controller, initl |
79 |
78 |
$6K |
| E1012 |
Ctr mount pwr elev leg rest |
27 |
26 |
$5K |
| E2313 |
Pwc harness, expand control |
79 |
78 |
$3K |
| E0295 |
Hosp bed semi-elect w/o matt |
80 |
80 |
$2K |
| E1028 |
W/c manual swingaway |
101 |
71 |
$1K |
| E0955 |
Cushioned headrest |
67 |
66 |
$628.26 |