EVERGREEN ADULT DAY CARE
NPI: 1649724089
· HONOLULU, HI 96813
· Adult Day Care Clinic/Center
· NPI assigned 08/14/2016
$8.82M
Total Medicaid Paid
Provider Details
| Authorized Official | PARK, DANIEL (OWNER) |
| NPI Enumeration Date | 08/14/2016 |
Related Entities
Other providers sharing the same authorized official: PARK, DANIEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
26,553 |
$1.43M |
| 2019 |
36,866 |
$2.09M |
| 2020 |
28,671 |
$1.71M |
| 2021 |
18,631 |
$1.04M |
| 2022 |
17,375 |
$944K |
| 2023 |
15,280 |
$859K |
| 2024 |
18,217 |
$741K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
143,266 |
8,594 |
$7.69M |
| S5130 |
Homemaker service, nos; per 15 minutes |
11,912 |
1,391 |
$760K |
| S9122 |
Home health aide or certified nurse assistant, providing care in the home; per hour |
6,415 |
593 |
$370K |