REVIVE SPARKS LLC SOS Verified
2350 WINGFIELD HILLS RD, SPARKS, NV 89436
NPI Number
1881355857
SOS Verification: Verified
Entity Name: Revive Sparks, LLC
Entity Number: E18072982021-1
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2021-10-06
Status Changed: 2021-10-06
Name Match: 95%
Registered Agent
Name: CORPORATION SERVICE COMPANY*
Type: Commercial Registered Agent
Address: 112 NORTH CURRY STREET, Carson City, NV, 89703
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | Zachary Gray | 9410 Prototype Drive #7, Reno, NV | Active |
Campaign Contributions
$5,000Total Contributed
1Candidates Supported
Officer / Individual Matches
Zachary GrayProbable Match
Matched via officer: Zachary Gray (Manager)
$5,000 across 1 contribution
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Steve Sisolak | Governor | Democratic Party | $5,000 | 1 |
Data Notice Campaign contribution matches are based on automated name matching against Nevada Secretary of State campaign finance records. Corporate matches compare registered business names. Officer matches compare individual names and may include false positives due to common names. Contributions are to Nevada state and local candidates only.
Total Medicaid Payments
$14
-100% vs specialty average
Patients Seen
285
Total Claims
1,431
$ Per Patient
$0
Specialty avg: $10
Specialty Rank
#12 of 46
Skilled Nursing Facility providers in Nevada
Peer Average
$22,754
Average total for Skilled Nursing Facility
Claims per Patient
5.0
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2023 | $14 | |
| 2024 | $0 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 90688 | Vaccine or immunization | 33 | $14 | 100.0% | $0 |
| 90662 | Vaccine or immunization | 27 | $0 | 0.0% | $0 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 36 | $0 | 0.0% | $0 |
| 36415 | Drawing blood from a vein (routine blood draw) | 21 | $0 | 0.0% | $0 |
| 97530 | Therapeutic activities — exercises and tasks to improve daily function | 376 | $0 | 0.0% | $0 |
| G0008 | Administration of influenza virus vaccine | 64 | $0 | 0.0% | $0 |
| 97110 | Physical therapy exercises to build strength, flexibility, or range of motion | 113 | $0 | 0.0% | $0 |
| 92507 | Speech therapy session — treatment for speech, language, or swallowing problems | 761 | $0 | 0.0% | $0 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.