Supplier
Revival Pharmacy LLC
Revival Pharmacy LLC was paid $36.61 by Medicaid between Oct 2018 and Oct 2018, across 1 billing code. Its largest line is A4253, Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips — 100% of everything it billed.
33Billing provider infoREVIVAL PHARMACY LLC
BROOKLYN, NY 11203
BROOKLYN, NY 11203
33aNPI1629347414assigned 12/22/2011
33bProvider typePharmacy
28Total paid$36.61
24GClaims13
24DCodes billed1
24AFirst – last monthOct 2018 – Oct 2018
Compared with peers
Next to other Pharmacy providers in New York
Rank by total paid#118 of 126
Median peer was paid$2K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2018 | 13 | $36.61 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 100% | 13 | 13 | $36.61 |
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 officialSOSKIN, MOSHE (COO)
| Provider | Location | Paid |
|---|---|---|
| Oasis at Boynton Beach Alf LLC | Boynton Beach, FL | $2.94M |
| Peyu Health Care LLC | Hollywood, FL | $2.22M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.