Providers
REVIVE SPINE AND PAIN CENTER
NPI 1235674912, organization, Marlton, NJ, Physical Medicine & Rehabilitation, Pain Medicine
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since September 5, 2024.
- Medicaid still paid claims in 3 later months, $35,551 in total.
score 95 of 100, rank 211, $36K at stake
Public list actions
Medicare revocation effective September 5, 2024, barred from re-enrolling until September 4, 2034
424.535(a)(8)(ii) abuse of billing privileges: pattern or practice, Part B Supplier - Clinic/Group Practice, NJ
Medicare revocation effective September 17, 2024, barred from re-enrolling until September 7, 2034
424.535(a)(8)(ii) abuse of billing privileges: pattern or practice, DME Supplier - Physician - General Practice, NJ
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(8)(ii) abuse of billing privileges: pattern or practice | Exact NPI, name verified | Sep 17, 2024 | Sep 7, 2034 | 3 | Oct 2024 | Dec 2024 | $36K | $324K |
| Medicare revocation list 424.535(a)(8)(ii) abuse of billing privileges: pattern or practice | Exact NPI, name verified | Sep 5, 2024 | Sep 4, 2034 | 3 | Oct 2024 | Dec 2024 | $36K | $324K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | REVIVE SPINE AND PAIN CENTER |
| Type | Organization |
| Status | Active |
| NPI issued | January 4, 2017, last updated January 31, 2024 |
| Practice location | 1001 LINCOLN DR W STE E, Marlton, NJ 08053-1534, 856-983-9001 |
| Mailing address | PO BOX 1126, Absecon, NJ 08201-5126 |
| Authorized official | MIKE NAMMOUR (Manager) |
| Specialties | Physical Medicine & Rehabilitation, Pain Medicine (2081P2900X, primary) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $861K | 46% | $63 | $60 (top 5% from $133) | too few months to rank | |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | $609K | 33% | $93 | $146 (top 5% from $318) | too few months to rank | |
| 80307 | Testing for presence of drug, by chemistry analyzers | $233K | 13% | $28 | $45 (top 5% from $110) | too few months to rank | |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | $54K | 3% | $47 | $58 (top 5% from $129) | too few months to rank | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $53K | 3% | $54 | $44 (top 5% from $110) | too few months to rank | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $14K | 1% | $86 | $95 (top 5% from $171) | too few months to rank | |
| 20553 | Injection of trigger points, 3 or more muscles | $10K | 1% | $43 | $37 (top 5% from $144) | too few months to rank | |
| 95911 | Nerve conduction, 9-10 studies | $8K | 0% | $122 | $130 (top 5% from $264) | too few months to rank |
In this area
2 providers in Burlington County, NJ carry an indicator in the public record, with $353K at stake between them. The most common is more hours than a day holds, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | ABHIJEET RASTOGI Hainesport, NJ, ranked 8260 | $207K |
|
| 4 | KIERAN SLEVIN Hainesport, NJ, ranked 8276 | $146K |
|
Recent enforcement in NJ
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedJul 29, 2026
Fraud Division Resolves Fraud Investigation of Eye Care Group Under New Corporate Enforcement Policy; Health Care Executive Charged for Alleged Fraud and Kickbacks
DiDonato allegedly conspired to defraud Medicare by billing for unnecessary and duplicative diagnostic eye tests and paid kickbacks and bribes to ophthalmologists disguised as consulting fees for patient referrals, while Campus Eye received a declination after self-disclosing and agreed to pay back $1 million to victims.
DOJIndictedJul 29, 2026
Founder And Former CEO of New Jersey Based Eye Care Group Charged with Health Care Fraud Conspiracy and Paying Illegal Kickbacks
DiDonato allegedly paid kickbacks disguised as consulting fees to ophthalmologists for patient referrals and billed Medicare approximately $3.4 million for duplicative or unnecessary diagnostic tests performed at his optometry practice and eye surgery center.
DOJChargedJul 9, 2026
Six Individuals, Including a Pharmacist and Doctor, Charged in Connection with $20 Million Healthcare Fraud and Kickback Scheme
A pharmacy owner paid cash kickbacks to a doctor, advanced practice nurses, and an office manager in exchange for medically unnecessary prescriptions for high-reimbursement medications billed to Medicare and Medicaid.
DOJPleaded guiltyJun 24, 2026
Cape May County Psychiatrist Admits to 17 Felony Counts for Unlawful Controlled Substance Prescriptions Linked to Sexual Conduct, Risk of Death, and Serious Bodily Injury
A psychiatrist issued invalid prescriptions for Adderall, Vyvanse, and Xanax to 17 patients outside the usual course of professional practice, with intent to defraud and mislead the dispensing pharmacies and the insurers, government benefits programs, and other third parties who paid for the drugs, sometimes in exchange for sexual activities, images, or videos.
DOJSentencedMay 21, 2026
New Jersey Physical Therapist Sentenced to 12 Months in Prison for Health Care Fraud Scheme Targeting Amtrak
Kim, a licensed physical therapist, allowed her license and business bank accounts to be used to bill Amtrak's health care plan for claims for services that never were provided and were medically unnecessary, in return for a portion of the proceeds.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.