EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
NPI: 1821037284
· HILLSBORO, OR 97123
· Durable Medical Equipment & Medical Supplies
· NPI assigned 06/04/2006
$910.21
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: O'NEILL, TIMOTHY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
14 |
$910.21 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
14 |
12 |
$910.21 |