Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OK › WARR ACRES › REVAN HEALTH LLC

REVAN HEALTH LLC

NPI: 1114540689 · WARR ACRES, OK 73132 · Family Medicine Physician · NPI assigned 05/19/2020

$44K
Total Medicaid Paid
418
Total Claims
411
Beneficiaries
4
Codes Billed
2021-12
First Month
2024-10
Last Month

Provider Details

Authorized OfficialEVANS, JUSTIN (CEO)
NPI Enumeration Date05/19/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 14 $2K
2022 101 $9K
2023 139 $16K
2024 164 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 380 374 $42K
99215 Prolong outpt/office vis 13 12 $2K
99211 12 12 $220.24
36415 13 13 $22.88