Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › BROOKLYN › REVIVAL PHARMACY LLC

REVIVAL PHARMACY LLC

NPI: 1629347414 · BROOKLYN, NY 11203 · Pharmacy · NPI assigned 12/22/2011

$36.61
Total Medicaid Paid
13
Total Claims
13
Beneficiaries
1
Codes Billed
2018-10
First Month
2018-10
Last Month

Provider Details

Authorized OfficialSOSKIN, MOSHE (COO)
NPI Enumeration Date12/22/2011

Related Entities

Other providers sharing the same authorized official: SOSKIN, MOSHE

ProviderCityStateTotal Paid
OASIS AT BOYNTON BEACH ALF LLC BOYNTON BEACH FL $2.94M
PEYU HEALTH CARE LLC HOLLYWOOD FL $2.22M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $36.61

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 13 13 $36.61