EVOLVE RESTORATIVE CENTER
NPI: 1215437249
· SANTA ROSA, CA 95403
· 332B00000X
$1.81M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,134 |
$19K |
| 2019 |
3,243 |
$87K |
| 2020 |
10,452 |
$366K |
| 2021 |
15,192 |
$515K |
| 2022 |
13,627 |
$341K |
| 2023 |
9,682 |
$278K |
| 2024 |
7,714 |
$201K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
34,571 |
29,187 |
$914K |
| 80307 |
|
2,723 |
2,555 |
$212K |
| 62323 |
|
556 |
546 |
$161K |
| 96127 |
|
6,993 |
5,973 |
$161K |
| 99204 |
|
1,064 |
1,061 |
$68K |
| 99213 |
|
2,901 |
2,657 |
$55K |
| 62321 |
|
241 |
238 |
$54K |
| 99203 |
|
582 |
580 |
$33K |
| 64483 |
|
574 |
564 |
$30K |
| 77002 |
|
860 |
799 |
$24K |
| 20610 |
|
532 |
491 |
$18K |
| 96136 |
|
1,398 |
1,354 |
$17K |
| 99499 |
|
662 |
537 |
$14K |
| 99215 |
Prolong outpt/office vis |
151 |
141 |
$9K |
| Q3014 |
Telehealth facility fee |
492 |
468 |
$9K |
| 64493 |
|
60 |
56 |
$8K |
| J3301 |
Triamcinolone acet inj nos |
773 |
728 |
$5K |
| 62370 |
|
312 |
308 |
$4K |
| J1100 |
Dexamethasone sodium phos |
1,319 |
1,280 |
$4K |
| 64494 |
|
48 |
42 |
$3K |
| 95971 |
|
72 |
64 |
$2K |
| 99212 |
|
56 |
56 |
$1K |
| 80305 |
|
234 |
193 |
$900.30 |
| 96103 |
|
102 |
92 |
$610.55 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,759 |
1,816 |
$533.84 |
| 96146 |
|
964 |
948 |
$504.90 |
| 97110 |
|
45 |
29 |
$8.81 |