Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EVERGREEN EYE CENTER, PLLC

NPI: 1104465012 · TACOMA, WA 98405 · Ambulatory Surgical Clinic/Center · NPI assigned 12/26/2019

$39K
Total Medicaid Paid
393
Total Claims
328
Beneficiary Records
1
Codes Billed
2022-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCAMPOS, ROSA (CREDENTIALING MANAGER)
NPI Enumeration Date12/26/2019

Related Entities

Other providers sharing the same authorized official: CAMPOS, ROSA

ProviderCityStateTotal Paid
EVERGREEN EYE CENTER, PLLC FEDERAL WAY WA $3.37M
EVERGREEN EYE CENTER, PLLC FEDERAL WAY WA $628K
EYE ASSOCIATES NORTHWEST, PLLC SEATTLE WA $194K
EVERGREEN EYE CENTER, PLLC SEATTLE WA $98K
JASON A AHEE MD PC ST GEORGE UT $29K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 31 $4K
2023 160 $19K
2024 202 $16K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 393 328 $39K