EVERGREEN PEDIATRIC CLINIC PS
NPI: 1144343773
· VANCOUVER, WA 98664
· 2080A0000X
$1.82M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,180 |
$298K |
| 2019 |
5,027 |
$295K |
| 2020 |
3,028 |
$165K |
| 2021 |
4,637 |
$196K |
| 2022 |
5,044 |
$306K |
| 2023 |
3,493 |
$282K |
| 2024 |
4,894 |
$283K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
15,516 |
15,207 |
$1.00M |
| 99214 |
|
7,511 |
7,250 |
$684K |
| 99393 |
|
521 |
518 |
$48K |
| 99392 |
|
326 |
326 |
$30K |
| 90686 |
|
2,283 |
2,271 |
$29K |
| 90471 |
|
418 |
408 |
$9K |
| 99394 |
|
54 |
54 |
$6K |
| 90688 |
|
491 |
491 |
$5K |
| 99215 |
Prolong outpt/office vis |
45 |
41 |
$5K |
| 99391 |
|
41 |
39 |
$3K |
| 0072A |
|
28 |
28 |
$1K |
| 90480 |
|
29 |
25 |
$915.60 |
| 0071A |
|
21 |
21 |
$810.00 |
| 90472 |
|
27 |
26 |
$599.60 |
| 90656 |
|
131 |
130 |
$393.40 |
| 87804 |
|
26 |
13 |
$346.84 |
| D9999 |
|
12 |
12 |
$275.80 |
| 90707 |
|
15 |
15 |
$244.05 |
| D0120 |
|
12 |
12 |
$235.68 |
| 87426 |
|
15 |
12 |
$196.00 |
| D1206 |
|
12 |
12 |
$145.75 |
| 90685 |
|
14 |
13 |
$83.44 |
| 90651 |
|
13 |
12 |
$34.06 |
| 96160 |
|
14 |
14 |
$33.88 |
| 96161 |
|
13 |
12 |
$15.60 |
| G2211 |
Complex e/m visit add on |
1,056 |
1,034 |
$2.41 |
| 99072 |
|
2,659 |
2,526 |
$0.00 |