EVERGREEN AFC
NPI: 1639804347
· SHREWSBURY, MA 01545
· Adult Care Home Facility
· NPI assigned 07/18/2022
$253K
Total Medicaid Paid
Provider Details
| Authorized Official | SHAH, GAUTAM (OWNER) |
| NPI Enumeration Date | 07/18/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
3,233 |
$253K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5140 |
Foster care, adult; per diem |
3,218 |
152 |
$249K |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
15 |
15 |
$4K |