Physician
Evergreen Dermatopathology LLC
Evergreen Dermatopathology LLC was paid $48K by Medicaid between Mar 2021 and Sep 2024, across 3 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 92% of everything it billed.
33Billing provider infoEVERGREEN DERMATOPATHOLOGY LLC
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
33aNPI1174187165assigned 04/25/2019
33bProvider typeDermatology Physician
28Total paid$48K
24GClaims1,586
24DCodes billed3
24AFirst – last monthMar 2021 – Sep 2024
Compared with peers
Next to other Dermatology Physician providers in Idaho
Rank by total paid#12 of 19
Median peer was paid$60K
This provider vs. median0.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 167 | $3K | |
| 2022 | 638 | $16K | |
| 2023 | 666 | $24K | |
| 2024incomplete | 115 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 92% | 1,448 | 1,372 | $44K |
| 88321 | 6.0% | 39 | 38 | $3K | |
| 88304 | 2.5% | 99 | 93 | $1K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHAMSTRA, ASHLEY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Evergreen Dermatopathology PLLC | Liberty Lake, WA | $46K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.