EVERGREEN ADULT DAY CARE
NPI: 1598367849
· HONOLULU, HI 96814
· 253Z00000X
$710K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
2,804 |
$77K |
| 2021 |
6,190 |
$425K |
| 2022 |
1,471 |
$117K |
| 2023 |
772 |
$70K |
| 2024 |
248 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5130 |
Homaker service nos per 15m |
7,850 |
807 |
$490K |
| S9122 |
Home health aide or certifie |
3,635 |
294 |
$220K |