EVOLVE WELLNESS LLC
NPI: 1699406769
· LAS VEGAS, NV 89121
· Clinical Social Worker
· NPI assigned 06/20/2022
$157K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
1,766 |
$53K |
| 2023 |
2,890 |
$104K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90876 |
|
1,548 |
213 |
$139K |
| Q3014 |
Telehealth originating site facility fee |
1,536 |
213 |
$7K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
56 |
55 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,516 |
209 |
$5K |