Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OR › GRESHAM › EVERGREEN PROSTHETICS AND ORTHOTICS, LLC

EVERGREEN PROSTHETICS AND ORTHOTICS, LLC

NPI: 1831218767 · GRESHAM, OR 97080 · Durable Medical Equipment & Medical Supplies · NPI assigned 03/29/2007

$1K
Total Medicaid Paid
17
Total Claims
15
Beneficiaries
1
Codes Billed
2018-01
First Month
2018-01
Last Month

Provider Details

Authorized OfficialO'NEILL, TIMOTHY (OWNER)
NPI Enumeration Date03/29/2007

Related Entities

Other providers sharing the same authorized official: O'NEILL, TIMOTHY

ProviderCityStateTotal Paid
COLORADO ORTHOTIC & PROSTHETIC SERVICES, LLC DENVER CO $241K
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC VANCOUVER WA $68K
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC PORTLAND OR $58K
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC PORTLAND OR $17K
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC OREGON CITY OR $5K
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC HILLSBORO OR $910.21

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 17 15 $1K