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Based on public Medicaid payment data.

Revive Medical Supplies

Medicaid Provider in Los Angeles, CA

Type

Organization

Address

1617 S Burlington Ave

Los Angeles, CA 900062567

Phone

9493909105

NPI

1467073098

Procedures

1

Total Claims

80

Patients Served

80

About these costs

All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.

Procedures & Average Costs

Procedure Avg. Paid Claims Patients
Durable Medical Equipment (DME) $19.98 80 80

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