EVERGREEN AT GARDNERVILLE, L.L.C.
NPI: 1083662514
· GARDNERVILLE, NV 89410
· 225100000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
357 |
$0.00 |
| 2021 |
53 |
$0.00 |
| 2022 |
28 |
$0.00 |
| 2023 |
32 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| Q3014 |
Telehealth facility fee |
59 |
30 |
$0.00 |
| 0001A |
|
16 |
16 |
$0.00 |
| G0008 |
Admin influenza virus vac |
31 |
31 |
$0.00 |
| 90694 |
|
16 |
16 |
$0.00 |
| 97530 |
|
320 |
38 |
$0.00 |
| 0002A |
|
15 |
14 |
$0.00 |
| 90662 |
|
13 |
13 |
$0.00 |