EVERGREEN FOOT AND ANKLE LLC
NPI: 1457808933
· ANNANDALE, VA 22003
· 213ES0103X
$155K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
173 |
$5K |
| 2019 |
881 |
$21K |
| 2020 |
593 |
$20K |
| 2021 |
775 |
$31K |
| 2022 |
692 |
$26K |
| 2023 |
630 |
$28K |
| 2024 |
495 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
2,474 |
1,984 |
$88K |
| 99203 |
|
1,016 |
880 |
$55K |
| 73630 |
|
556 |
365 |
$10K |
| 99212 |
|
108 |
54 |
$865.96 |
| 20550 |
|
17 |
13 |
$460.46 |
| 99072 |
|
49 |
45 |
$40.00 |
| J3301 |
Triamcinolone acet inj nos |
19 |
13 |
$6.92 |