EVERGREEN AT PAHRUMP, L.L.C.
NPI: 1568410884
· PAHRUMP, NV 89060
· 314000000X
$261K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
264 |
$0.00 |
| 2019 |
2,357 |
$1K |
| 2020 |
11,501 |
$4K |
| 2021 |
3,905 |
$24K |
| 2022 |
4,205 |
$52K |
| 2023 |
13,096 |
$120K |
| 2024 |
7,799 |
$60K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
|
17,711 |
1,125 |
$198K |
| 97116 |
|
4,834 |
414 |
$56K |
| 97535 |
|
4,997 |
645 |
$4K |
| 97112 |
|
3,926 |
619 |
$2K |
| 97542 |
|
726 |
146 |
$877.26 |
| 97110 |
|
8,270 |
947 |
$209.97 |
| Q3014 |
Telehealth facility fee |
1,403 |
340 |
$0.00 |
| 97140 |
|
531 |
86 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
33 |
33 |
$0.00 |
| 0001A |
|
48 |
38 |
$0.00 |
| 90674 |
|
32 |
32 |
$0.00 |
| G0008 |
Admin influenza virus vac |
65 |
65 |
$0.00 |
| 97165 |
|
14 |
12 |
$0.00 |
| 90677 |
|
33 |
33 |
$0.00 |
| 90480 |
|
26 |
25 |
$0.00 |
| 90686 |
|
33 |
33 |
$0.00 |
| 0002A |
|
29 |
29 |
$0.00 |
| 97129 |
|
340 |
120 |
$0.00 |
| 97150 |
|
51 |
12 |
$0.00 |
| 91320 |
|
25 |
24 |
$0.00 |