EVOLVE BEHAVIORAL HEALTH, LLC
NPI: 1316708993
· FLORENCE, AL 35630
· Internal Medicine Physician
· NPI assigned 01/19/2024
$777.59
Total Medicaid Paid
Provider Details
| Authorized Official | TIDWELL, JESSI (CO- OWNER) |
| NPI Enumeration Date | 01/19/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
136 |
$777.59 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
12 |
$646.92 |
| 96127 |
|
119 |
86 |
$130.67 |