REVIVE PATHWAY
NPI: 1962117440
· EL CAJON, CA 92021
· Substance Use Disorder Rehabilitation Clinic/Center
· NPI assigned 01/18/2023
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1015 with only 3 total codes billed. Highly concentrated billing profile.
$1.38M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: KERSHNER, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
85 |
$55K |
| 2024 |
1,971 |
$1.33M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,951 |
824 |
$1.38M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
37 |
$654.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63 |
47 |
$0.00 |