EVERGREEN ADULT DAY CARE IN NY, INC
NPI: 1851641500
· FLUSHING, NY 11354
· Adult Day Care Clinic/Center
· NPI assigned 09/10/2012
$31.42M
Total Medicaid Paid
57,567
Beneficiary Records
Provider Details
| Authorized Official | ICOO, HYUN JONG (PRESIDENT) |
| NPI Enumeration Date | 09/10/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
30,327 |
$1.82M |
| 2019 |
69,780 |
$3.96M |
| 2020 |
120,894 |
$4.21M |
| 2021 |
134,250 |
$5.24M |
| 2022 |
97,764 |
$5.92M |
| 2023 |
74,991 |
$5.34M |
| 2024 |
73,551 |
$4.91M |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
312,603 |
29,912 |
$20.67M |
| S5102 |
Day care services, adult; per diem |
65,909 |
5,931 |
$5.59M |
| T2003 |
Non-emergency transportation; encounter/trip |
77,127 |
7,542 |
$1.89M |
| A0100 |
Non-emergency transportation; taxi |
67,509 |
6,452 |
$1.68M |
| S9977 |
Meals, per diem, not otherwise specified |
42,717 |
4,140 |
$852K |
| S5170 |
Home delivered meals, including preparation; per meal |
35,692 |
3,590 |
$731K |