Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

REVIVE MEDICAL CENTER LLC

NPI: 1740996636 · HALEYVILLE, AL 35565 · Urgent Care Clinic/Center · NPI assigned 01/25/2023

$110K
Total Medicaid Paid
4,494
Total Claims
3,360
Beneficiaries
17
Codes Billed
2023-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPICKENS, LARRY (OWNER/PRESIDENT)
NPI Enumeration Date01/25/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,581 $27K
2024 2,913 $84K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 846 650 $48K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 370 267 $22K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 362 309 $16K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 147 118 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 180 88 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 473 364 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 500 417 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 101 69 $752.20
36415 Collection of venous blood by venipuncture 481 372 $520.44
87428 108 99 $50.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 29 26 $12.68
3078F 254 147 $0.00
3077F 14 13 $0.00
3079F 151 100 $0.00
3074F 323 205 $0.00
3008F 133 98 $0.00
1125F 22 18 $0.00