Medicaid Provider Spending

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

BOZEMAN HEALTH BIG SKY MEDICAL CENTER, LLC

NPI: 1740659952 · BIG SKY, MT 59716 · Urgent Care Clinic/Center · NPI assigned 09/17/2015

$17K
Total Medicaid Paid
313
Total Claims
282
Beneficiaries
4
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialLIBERTINI, ANGIE (PAYER ENROLLMENT SUPERVISOR)
NPI Enumeration Date09/17/2015

Related Entities

Other providers sharing the same authorized official: LIBERTINI, ANGIE

ProviderCityStateTotal Paid
BOZEMAN HEALTH DEACONESS HOSPITAL BOZEMAN MT $4.47M
BOZEMAN HEALTH URGENT CARE BOZEMAN MT $1.39M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 172 $4K
2019 54 $4K
2020 15 $995.09
2022 28 $3K
2023 44 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 161 133 $12K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 32 29 $4K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 108 108 $449.28
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $269.80