EVOLUTION NUTRITION INC.
NPI: 1336265800
· EAST PROVIDENCE, RI 02914
· 133V00000X
$187K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$655.38 |
| 2022 |
239 |
$14K |
| 2023 |
1,284 |
$80K |
| 2024 |
1,347 |
$92K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97803 |
|
2,855 |
2,228 |
$185K |
| 99404 |
|
14 |
14 |
$1K |
| 99402 |
|
13 |
13 |
$686.92 |