Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › FLORENCE › REVIVED MEDICAL LAB, LLC

REVIVED MEDICAL LAB, LLC

NPI: 1811664519 · FLORENCE, SC 29501 · Clinical Medical Laboratory · NPI assigned 08/30/2021

$19K
Total Medicaid Paid
574
Total Claims
507
Beneficiaries
2
Codes Billed
2022-01
First Month
2022-08
Last Month

Provider Details

Authorized OfficialMARTIN, LAVANDA (DIRECTOR)
NPI Enumeration Date08/30/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 574 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 287 254 $14K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 287 253 $6K