Clinic
Clinica Revive Salud PLLC
Clinica Revive Salud PLLC was paid $336K by Medicaid between Nov 2023 and Dec 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.
33Billing provider infoCLINICA REVIVE SALUD PLLC
PHOENIX, AZ 85033
PHOENIX, AZ 85033
33aNPI1750003323assigned 09/12/2022
33bProvider typePrimary Care Clinic/Center
28Total paid$336K
24GClaims8,711
24DCodes billed28
24AFirst – last monthNov 2023 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Arizona
Rank by total paid#45 of 104
Median peer was paid$181K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2023 | 488 | $20K | |
| 2024incomplete | 8,223 | $317K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 72% | 4,045 | 3,244 | $241K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 6.9% | 269 | 264 | $23K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.8% | 460 | 434 | $23K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.5% | 231 | 229 | $18K |
| 36415 | Collection of venous blood by venipuncture | 2.0% | 1,485 | 1,448 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.9% | 624 | 606 | $7K |
| 99385 | 1.6% | 59 | 58 | $5K | |
| 99397 | <1% | 94 | 93 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 98 | 97 | $2K |
| 90656 | <1% | 67 | 67 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 14 | 14 | $1K |
| 81002 | <1% | 504 | 429 | $1K |
16 more codes
| 99497 | <1% | 140 | $951.72 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 94 | $849.36 |
| 99401 | <1% | 30 | $745.60 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 15 | $523.98 |
| 90686 | <1% | 29 | $491.25 | |
| 81025 | <1% | 27 | $169.12 | |
| 90662 | <1% | 25 | $111.73 | |
| 82962 | <1% | 32 | $54.25 | |
| G0008 | Administration of influenza virus vaccine | <1% | 24 | $12.41 |
| 96160 | <1% | 12 | $7.38 | |
| 99499 | <1% | 48 | $0.04 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 78 | $0.00 |
| 1160F | 0% | 77 | $0.00 | |
| 1159F | 0% | 91 | $0.00 | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 0% | 13 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 26 | $0.00 |
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 officialLOMELI, NUBIA (MEDICAL DIRECTOR)