EVERGREEN MEDICAL CENTER LLC
NPI: 1891770368
· EVERGREEN, AL 36401
· 282N00000X
$934K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
5,692 |
$117K |
| 2019 |
5,115 |
$146K |
| 2020 |
2,296 |
$95K |
| 2021 |
2,674 |
$112K |
| 2022 |
3,664 |
$146K |
| 2023 |
5,060 |
$191K |
| 2024 |
4,429 |
$127K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
11,450 |
7,447 |
$592K |
| 99283 |
|
3,801 |
2,305 |
$120K |
| 99285 |
|
1,258 |
880 |
$119K |
| 87804 |
|
1,988 |
936 |
$24K |
| 87811 |
|
627 |
579 |
$18K |
| 80053 |
|
1,979 |
1,717 |
$17K |
| 85027 |
|
2,518 |
2,139 |
$9K |
| 99282 |
|
255 |
139 |
$8K |
| 87880 |
|
399 |
369 |
$6K |
| 87635 |
|
114 |
110 |
$5K |
| 83735 |
|
648 |
557 |
$3K |
| 93005 |
|
186 |
168 |
$2K |
| 99281 |
|
54 |
31 |
$1K |
| G0481 |
Drug test def 8-14 classes |
17 |
14 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
717 |
644 |
$756.26 |
| 81003 |
|
355 |
313 |
$700.21 |
| 84443 |
|
34 |
28 |
$646.07 |
| 82553 |
|
54 |
44 |
$583.70 |
| J1040 |
Methylprednisolone 80 mg inj |
87 |
82 |
$573.50 |
| 87086 |
|
60 |
54 |
$516.20 |
| 71046 |
|
75 |
71 |
$476.97 |
| G0480 |
Drug test def 1-7 classes |
16 |
12 |
$422.46 |
| J0696 |
Ceftriaxone sodium injection |
326 |
292 |
$415.85 |
| 84484 |
|
68 |
50 |
$414.96 |
| 81025 |
|
101 |
87 |
$384.73 |
| 80306 |
|
29 |
24 |
$370.48 |
| 81001 |
|
84 |
75 |
$360.96 |
| 86328 |
|
12 |
12 |
$348.26 |
| 87186 |
|
25 |
24 |
$200.25 |
| 83880 |
|
14 |
12 |
$195.72 |
| 87077 |
|
25 |
24 |
$187.04 |
| 71045 |
|
50 |
45 |
$174.80 |
| 87807 |
|
13 |
13 |
$163.00 |
| J1100 |
Dexamethasone sodium phos |
376 |
348 |
$159.60 |
| 96365 |
|
22 |
14 |
$96.00 |
| 36415 |
|
1,004 |
888 |
$2.24 |
| 96372 |
|
89 |
86 |
$0.00 |