REVIVAL HOME
NPI: 1700051489
· HIALEAH, FL 33010
· Assisted Living Facility
· NPI assigned 04/24/2008
$1.41M
Total Medicaid Paid
Provider Details
| Authorized Official | BENITO, JORGE (OWNER) |
| NPI Enumeration Date | 04/24/2008 |
Related Entities
Other providers sharing the same authorized official: BENITO, JORGE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
150 |
$59K |
| 2019 |
208 |
$130K |
| 2020 |
402 |
$391K |
| 2021 |
798 |
$342K |
| 2022 |
780 |
$493K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2030 |
Assisted living, waiver; per month |
1,582 |
998 |
$1.17M |
| T1020 |
Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
756 |
705 |
$244K |