Clinic
Evergreen Clinic PC
Evergreen Clinic PC was paid $358K by Medicaid between Jan 2018 and Oct 2023, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.
33Billing provider infoEVERGREEN CLINIC PC
KALISPELL, MT 59901
KALISPELL, MT 59901
33aNPI1538390844assigned 08/04/2009
33bProvider typeClinic/Center
28Total paid$358K
24GClaims6,127
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Clinic/Center providers in Montana
Rank by total paid#25 of 91
Median peer was paid$152K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2018 | 567 | $35K | |
| 2019 | 1,158 | $57K | |
| 2020 | 1,288 | $68K | |
| 2021 | 1,161 | $72K | |
| 2022 | 1,201 | $72K | |
| 2023 | 752 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 87% | 4,348 | 3,867 | $311K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.2% | 178 | 171 | $19K |
| 80305 | 3.0% | 1,293 | 1,087 | $11K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.8% | 101 | 94 | $10K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 17 | 15 | $2K |
| 99499 | <1% | 22 | 17 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 19 | 19 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | 14 | $889.23 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 17 | 16 | $503.79 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | 14 | $252.48 |
| 36415 | Collection of venous blood by venipuncture | <1% | 104 | 98 | $246.18 |
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 officialRIPLEY, JILL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Lakeside Clinic P.C. | Somers, MT | $41K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.