Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Revitalized Wellness PLLC

Revitalized Wellness PLLC was paid $646K by Medicaid between Dec 2021 and Dec 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoREVITALIZED WELLNESS PLLC
SIOUX FALLS, SD 57103
33aNPI1760093025assigned 08/11/2020
33bProvider typeProfessional Counselor
28Total paid$646K
24GClaims15,478
24DCodes billed17
24AFirst – last monthDec 2021 – Dec 2024
Compared with peers

Next to other Professional Counselor providers in South Dakota

Rank by total paid#1 of 17
Median peer was paid$47K
This provider vs. median14×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
202143$107.65
20223,646$163K
20236,726$244K
2024incomplete5,063$239K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 60% 5,014 2,531 $390K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 13% 887 361 $81K
99401 6.7% 1,863 1,017 $43K
99402 6.0% 1,251 537 $39K
99404 5.6% 690 291 $36K
99406 3.1% 3,597 1,648 $20K
82075 2.9% 1,201 660 $19K
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 1.3% 69 66 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 535 312 $6K
99205 Prolong outpt/office vis <1% 17 14 $2K
80305 <1% 87 52 $368.66
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 84 44 $99.39
5 more codes
99213 Doctor's office visit, returning patient (routine) <1% 77 $72.64
96127 <1% 25 $64.58
81025 <1% 14 $63.90
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 52 $1.56
99408 0% 15 $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 officialROSS, KRISTI (OWNER)