Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EQUANIMITY HEALTH CARE, P.C.

NPI: 1356637656 · BOZEMAN, MT 59715 · Medical Specialty Clinic/Center · NPI assigned 06/24/2011

$85K
Total Medicaid Paid
4,726
Total Claims
2,385
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialDICELLO, MICHAEL (OWNER)
NPI Enumeration Date06/24/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 990 $21K
2019 791 $23K
2020 763 $9K
2021 786 $11K
2022 629 $9K
2023 592 $8K
2024 175 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
95117 3,640 1,358 $43K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 165 160 $11K
94010 312 290 $11K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 69 69 $8K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 53 51 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 14 $3K
95012 131 119 $2K
96160 341 324 $395.34