EVERGREEN PRESBYTERIAN MINISTRIES, INC.
NPI: 1104965409
· BOSSIER CITY, LA 71111
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 02/05/2007
$584K
Total Medicaid Paid
Provider Details
| Authorized Official | RYLAND, DOUGLAS (REGIONAL VICE PRESIDENT) |
| NPI Enumeration Date | 02/05/2007 |
Related Entities
Other providers sharing the same authorized official: RYLAND, DOUGLAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
252 |
$100K |
| 2019 |
258 |
$111K |
| 2020 |
259 |
$105K |
| 2021 |
185 |
$78K |
| 2022 |
203 |
$101K |
| 2023 |
199 |
$83K |
| 2024 |
34 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
1,254 |
1,053 |
$533K |
| S5136 |
Companion care, adult (e.g., iadl/adl); per diem |
136 |
109 |
$51K |