Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EVOLVE RESTORATIVE CENTER

NPI: 1215437249 · SANTA ROSA, CA 95403 · Durable Medical Equipment & Medical Supplies · NPI assigned 02/16/2018

$1.81M
Total Medicaid Paid
61,044
Total Claims
52,763
Beneficiaries
27
Codes Billed
2018-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBRUNTLETT, ERIC (COO)
NPI Enumeration Date02/16/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 34,571 29,187 $914K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,723 2,555 $212K
62323 556 546 $161K
96127 6,993 5,973 $161K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,064 1,061 $68K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,901 2,657 $55K
62321 241 238 $54K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 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 originating site facility fee 492 468 $9K
64493 60 56 $8K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 773 728 $5K
62370 312 308 $4K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,319 1,280 $4K
64494 48 42 $3K
95971 72 64 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 56 56 $1K
80305 234 193 $900.30
96103 102 92 $610.55
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,759 1,816 $533.84
96146 964 948 $504.90
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 45 29 $8.81