Physician
Evergreen Pediatrics, LLC
Evergreen Pediatrics, LLC was paid $585K by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoEVERGREEN PEDIATRICS, LLC
EVERGREEN, CO 80439
EVERGREEN, CO 80439
33aNPI1689839144assigned 07/24/2008
33bProvider typePediatrics Physician
28Total paid$585K
24GClaims19,057
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Colorado
Rank by total paid#56 of 186
Median peer was paid$68K
This provider vs. median8.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,922 | $149K | |
| 2019 | 4,184 | $131K | |
| 2020 | 1,883 | $54K | |
| 2021 | 1,965 | $66K | |
| 2022 | 1,734 | $61K | |
| 2023 | 2,434 | $74K | |
| 2024incomplete | 1,935 | $51K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 3,736 | 3,263 | $230K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 17% | 2,695 | 2,496 | $100K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 9.5% | 630 | 561 | $56K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.8% | 453 | 423 | $40K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.3% | 342 | 331 | $31K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.6% | 1,552 | 1,484 | $27K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 316 | 287 | $27K |
| 92551 | 2.5% | 1,461 | 1,344 | $15K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 148 | 140 | $14K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 859 | 771 | $12K |
| 99173 | 1.9% | 1,433 | 1,318 | $11K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.3% | 811 | 732 | $8K |
20 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 561 | $6K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 59 | $3K |
| 99000 | <1% | 1,239 | $2K | |
| 81002 | <1% | 571 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 80 | $1K |
| 90686 | <1% | 1,071 | $797.39 | |
| 90461 | <1% | 191 | $507.00 | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 176 | $209.30 |
| 90656 | <1% | 57 | $133.97 | |
| 90734 | <1% | 55 | $87.50 | |
| 36416 | <1% | 30 | $82.16 | |
| 94760 | <1% | 16 | $34.44 | |
| 90648 | 0% | 131 | $0.00 | |
| 90670 | 0% | 154 | $0.00 | |
| 90633 | 0% | 28 | $0.00 | |
| 90710 | 0% | 18 | $0.00 | |
| 90651 | 0% | 84 | $0.00 | |
| 90723 | 0% | 67 | $0.00 | |
| 87807 | 0% | 18 | $0.00 | |
| 90696 | 0% | 15 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialKUTALEK, KENNETH (OWNER)