EVERGREEN EYE CENTER, PLLC
NPI: 1821167479
· FEDERAL WAY, WA 98003
· Ambulatory Surgical Clinic/Center
· NPI assigned 11/07/2006
$628K
Total Medicaid Paid
Provider Details
| Authorized Official | CAMPOS, ROSA (CREDENTIALING MANAGER) |
| NPI Enumeration Date | 11/07/2006 |
Related Entities
Other providers sharing the same authorized official: CAMPOS, ROSA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
677 |
$68K |
| 2019 |
1,066 |
$114K |
| 2020 |
583 |
$103K |
| 2021 |
795 |
$91K |
| 2022 |
689 |
$72K |
| 2023 |
901 |
$101K |
| 2024 |
688 |
$79K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
3,640 |
2,943 |
$500K |
| 66821 |
|
721 |
593 |
$95K |
| 66982 |
|
270 |
231 |
$33K |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
384 |
320 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
384 |
320 |
$0.00 |