EVERGREEN ADULT DAYCARE CENTER, INC.
NPI: 1073049045
· CORONA, NY 11368
· Adult Day Care Clinic/Center
· NPI assigned 05/11/2017
$614K
Total Medicaid Paid
Provider Details
| Authorized Official | LIU, LEI (DIRECTOR) |
| NPI Enumeration Date | 05/11/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
8,911 |
$429K |
| 2020 |
6,273 |
$185K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
6,486 |
651 |
$321K |
| S5102 |
Day care services, adult; per diem |
1,520 |
142 |
$133K |
| T2003 |
Non-emergency transportation; encounter/trip |
3,892 |
395 |
$85K |
| A0100 |
Non-emergency transportation; taxi |
1,814 |
177 |
$45K |
| S5170 |
Home delivered meals, including preparation; per meal |
1,472 |
171 |
$30K |