Physician
Evergreen Dermatopathology PLLC
Evergreen Dermatopathology PLLC was paid $46K by Medicaid between Jul 2023 and Nov 2024, across 5 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 91% of everything it billed.
33Billing provider infoEVERGREEN DERMATOPATHOLOGY PLLC
LIBERTY LAKE, WA 99019
LIBERTY LAKE, WA 99019
33aNPI1700581170assigned 04/04/2023
33bProvider typeDermatopathology (Pathology) Physician
28Total paid$46K
24GClaims1,429
24DCodes billed5
24AFirst – last monthJul 2023 – Nov 2024
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 | |
|---|---|---|---|
| 2023 | 454 | $14K | |
| 2024incomplete | 975 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 91% | 1,327 | 1,074 | $42K |
| 88342 | 5.4% | 44 | 42 | $3K | |
| 88341 | 2.0% | 16 | 16 | $911.66 | |
| 88304 | 1.3% | 26 | 24 | $612.63 | |
| 0753T | 0% | 16 | 14 | $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 officialHAMSTRA, ASHLEY (PRACTICE OWNER)
| Provider | Location | Paid |
|---|---|---|
| Evergreen Dermatopathology LLC | Coeur D Alene, ID | $48K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.