EVERGREEN COMMUNITY SUPPORTS, LLC
NPI: 1154653897
· STANTON, KY 40380
· Community/Behavioral Health Agency
· NPI assigned 02/05/2010
$19.93M
Total Medicaid Paid
Provider Details
| Authorized Official | PACK, DEANA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 02/05/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
19,451 |
$2.56M |
| 2019 |
19,873 |
$2.79M |
| 2020 |
13,634 |
$2.54M |
| 2021 |
13,843 |
$2.70M |
| 2022 |
15,165 |
$3.05M |
| 2023 |
14,658 |
$3.26M |
| 2024 |
12,621 |
$3.02M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
72,029 |
2,826 |
$15.92M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
27,901 |
1,951 |
$2.07M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
9,315 |
2,592 |
$1.94M |