← Back to Provider List

EVERGREEN AT MOUNTAIN VIEW, L.L.C. SOS Verified

Skilled Nursing Facility · CARSON CITY, NV

201 KOONTZ LN, CARSON CITY, NV 89701

NPI Number
1144279472
Street View of 201 KOONTZ LN, CARSON CITY, NV 89701

Practice location · View on Google Maps

SOS Verification: Verified
Entity Name: Mountain View, LLC
Entity Number: E17248212021-7
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2021-09-02
Status Changed: 2021-09-02
Name Match: 85%
Registered Agent
Name: Avalon Oak, LLC
Type: Non-Commercial Registered Agent
Address: 5496 Reno Corporate Drive, Reno, NV, 89511
Officers / Principals
TitleNameAddressStatus
ManagerLewis Green1478 Fourth St Unit #3, Minden, NVActive
ManagerMatthew Carter1478 Fourth St Unit #3, Minden, NVActive
Campaign Contributions
$2,000Total Contributed
1Candidates Supported
Officer / Individual Matches
Matthew CarterPossible Match
Matched via officer: Matthew Carter (Manager)
$1,000 across 1 contribution
CandidateOfficePartyTotalCount
SNR PACPAC$1,0001
Matthew CarterPossible Match
Matched via officer: Matthew Carter (Manager)
$1,000 across 1 contribution
CandidateOfficePartyTotalCount
SNR PACPAC$1,0001
Data Notice Campaign contribution matches are based on automated name matching against Nevada Secretary of State campaign finance records. Corporate matches compare registered business names. Officer matches compare individual names and may include false positives due to common names. Contributions are to Nevada state and local candidates only.
Total Medicaid Payments
$56,275
+147% vs specialty average
Patients Seen
3,045
Total Claims
19,702
$ Per Patient
$18
Specialty avg: $10
Specialty Rank
#4 of 46
Skilled Nursing Facility providers in Nevada
Peer Average
$22,754
Average total for Skilled Nursing Facility
Claims per Patient
6.5
Average visits / services per person

Payments by Year

How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.

Year Total Paid % of Max
2018$1,322
2019$2,195
2020$2,115
2021$5,506
2022$21,363
2023$10,190
2024$13,585

Procedure Code Breakdown

The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.

HCPCS Code Description Claims Paid % of Total Avg per Claim
97530Therapeutic activities — exercises and tasks to improve daily function8,339$48,968
87.0%
$6
97110Physical therapy exercises to build strength, flexibility, or range of motion4,547$2,873
5.1%
$1
97112Neuromuscular re-education — retraining muscles and movement patterns1,182$2,324
4.1%
$2
97535Self-care training — learning to do daily activities like dressing, cooking, or bathing67$1,305
2.3%
$19
97116Gait training — learning or re-learning how to walk1,070$805
1.4%
$1
Q3014Telehealth originating site facility fee3,569$0
0.0%
$0
90661Vaccine or immunization18$0
0.0%
$0
90686Vaccine or immunization60$0
0.0%
$0
Q2035Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)14$0
0.0%
$0
90662Vaccine or immunization29$0
0.0%
$0
97140Manual therapy — hands-on treatment like massage or joint mobilization594$0
0.0%
$0
92610Swallowing evaluation12$0
0.0%
$0
G0008Administration of influenza virus vaccine131$0
0.0%
$0
97542Wheelchair management training55$0
0.0%
$0
0002AMedical service or procedure15$0
0.0%
$0

About This Data

This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.