EVERGREEN REAL ESTATE DEV. CORP

NPI: 1568824357 · PRIOR LAKE, MN 55372 · Emergency Response System Companies · NPI assigned 03/22/2016

$900K

Total Medicaid Paid

7,365

Total Claims

4,722

Beneficiaries

Codes Billed

2018-01

First Month

2019-10

Last Month

Provider Details

Authorized Official	MCCLENAHAN, GREGORY (PRESIDENT)
NPI Enumeration Date	03/22/2016

Other providers sharing the same authorized official: MCCLENAHAN, GREGORY

Provider	City	State	Total Paid
OPEN ARMS HOME HEALTH CARE - DES MOINES, LLC	DES MOINES	IA	$4.93M
THE ROSE OF DUBUQUE, L.P.	DUBUQUE	IA	$2.20M
THE ROSE OF COUNCIL BLUFFS, L.P.	COUNCIL BLUFFS	IA	$1.47M
OPEN ARMS HOME HEALTH CARE LLC	DUBUQUE	IA	$1.23M
OPEN ARMS HOME HEALTH CARE - WATERLOO, LLC	WATERLOO	IA	$1.02M
OPEN ARMS HOME HEALTH CARE - COUNCIL BLUFFS, LLC	COUNCIL BLUFFS	IA	$875K
THE ROSE OF WATERLOO, L.P.	WATERLOO	IA	$431K
THE ROSE OF DES MOINES, L.P.	DES MOINES	IA	$311K
THE ROSE OF EAST DES MOINES, L.P.	DES MOINES	IA	$289K
THE ROSE OF AMES, L.P.	AMES	IA	$184K

Year	Claims	Total Paid
2018	4,511	$520K
2019	2,854	$380K

Code	Description	Claims	Beneficiaries	Total Paid
S5170	Home delivered meals, including preparation; per meal	4,880	2,277	$814K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	2,485	2,445	$86K