EVERGREEN SENIOR DAYCARE CENTER
NPI: 1497276588
· BROOKLYN, NY 11219
· PACE Provider Organization
· NPI assigned 06/29/2017
$22.63M
Total Medicaid Paid
Provider Details
| Authorized Official | GUO, WEI (DIRECTOR) |
| NPI Enumeration Date | 06/29/2017 |
Related Entities
Other providers sharing the same authorized official: GUO, WEI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
15,052 |
$658K |
| 2020 |
34,335 |
$1.02M |
| 2021 |
38,289 |
$1.41M |
| 2022 |
87,526 |
$4.36M |
| 2023 |
141,883 |
$6.91M |
| 2024 |
168,861 |
$8.27M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
220,905 |
15,672 |
$14.22M |
| S5102 |
Day care services, adult; per diem |
37,279 |
3,088 |
$2.98M |
| A0100 |
Non-emergency transportation; taxi |
88,863 |
6,624 |
$2.21M |
| T2003 |
Non-emergency transportation; encounter/trip |
67,693 |
4,367 |
$1.53M |
| A0130 |
Non-emergency transportation: wheelchair van |
43,741 |
3,200 |
$1.07M |
| S5170 |
Home delivered meals, including preparation; per meal |
20,892 |
1,466 |
$418K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
6,573 |
577 |
$203K |