EVERGREEN DERMATOPATHOLOGY PLLC
NPI: 1700581170
· LIBERTY LAKE, WA 99019
· Dermatopathology (Pathology) Physician
· NPI assigned 04/04/2023
Provider Details
| Authorized Official | HAMSTRA, ASHLEY (PRACTICE OWNER) |
| NPI Enumeration Date | 04/04/2023 |
Related Entities
Other providers sharing the same authorized official: HAMSTRA, ASHLEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
454 |
$14K |
| 2024 |
975 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,327 |
1,074 |
$42K |
| 88342 |
|
44 |
42 |
$3K |
| 88341 |
|
16 |
16 |
$911.66 |
| 88304 |
|
26 |
24 |
$612.63 |
| 0753T |
|
16 |
14 |
$0.00 |