EVERGREEN MEDICAL CENTER LLC
NPI: 1427366871
· EVERGREEN, AL 36401
· 261QR1300X
$238K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,359 |
$18K |
| 2019 |
447 |
$10K |
| 2020 |
1,573 |
$40K |
| 2021 |
1,701 |
$42K |
| 2022 |
2,043 |
$53K |
| 2023 |
2,453 |
$50K |
| 2024 |
420 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
4,821 |
3,175 |
$237K |
| 99213 |
|
3,378 |
2,289 |
$1K |
| 99214 |
|
142 |
85 |
$136.40 |
| 99212 |
|
62 |
42 |
$60.45 |
| 36415 |
|
66 |
44 |
$3.45 |
| J1030 |
Methylprednisolone 40 mg inj |
76 |
67 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
134 |
121 |
$0.00 |
| J3420 |
Vitamin b12 injection |
79 |
69 |
$0.00 |
| 99308 |
|
314 |
161 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
29 |
27 |
$0.00 |
| 96372 |
|
593 |
430 |
$0.00 |
| 82962 |
|
176 |
154 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
39 |
28 |
$0.00 |
| 99307 |
|
48 |
25 |
$0.00 |
| 99203 |
|
23 |
13 |
$0.00 |
| J2930 |
Methylprednisolone injection |
16 |
16 |
$0.00 |