EVERGREEN MEDICAL CLINIC P.C

$3.75M

Total Medicaid Paid

83,497

Total Claims

73,680

Beneficiaries

54

Codes Billed

2018-01

First Month

2024-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213		24,628	19,082	$1.98M
99212		13,652	10,574	$671K
99396		2,794	2,783	$353K
99442		4,462	3,952	$296K
99395		770	767	$91K
90756		2,095	2,092	$56K
90471		3,151	3,086	$51K
99443		504	490	$49K
93000		3,450	3,436	$41K
G8510	Scr dep neg, no plan reqd	3,792	3,789	$35K
83013		578	577	$30K
90460		869	824	$14K
94010		379	379	$12K
99394		109	109	$11K
0013A		206	206	$8K
99203		73	73	$8K
99202		126	125	$8K
90686		670	668	$7K
0011A		153	153	$6K
0012A		152	152	$5K
36415		5,842	5,785	$4K
G0108	Diab manage trn per indiv	58	56	$3K
83014		497	497	$3K
G0444	Depression screen annual	213	213	$3K
90688		123	123	$3K
36410		329	324	$2K
92551		202	200	$2K
81001		820	802	$1K
99393		13	13	$1K
99173		212	211	$1K
90746		15	15	$970.47
81003		585	570	$494.31
83036		29	29	$157.64
97161		12	12	$38.63
H0001	Alcohol and/or drug assess	1,014	1,014	$36.71
91301		559	547	$0.36
G9622	No unheal etoh user	845	845	$0.00
G8417	Calc bmi abv up param f/u	583	581	$0.00
G9276	Doc of tobacco user	234	234	$0.00
3725F		139	139	$0.00
97110		49	28	$0.00
3016F		18	18	$0.00
90672		19	18	$0.00
90461		13	13	$0.00
G8420	Calc bmi norm parameters	2,523	2,520	$0.00
99000		4,114	3,779	$0.00
97140		48	27	$0.00
G9275	Doc of non tobacco user	1,595	1,594	$0.00
1000F		66	66	$0.00
97032		22	13	$0.00
1036F		25	25	$0.00
97112		41	25	$0.00
S0612	Annual gynecological examina	13	13	$0.00
4293F		14	14	$0.00

Medicaid Provider Spending