BOZEMAN HEALTH BIG SKY MEDICAL CENTER, LLC
NPI: 1740659952
· BIG SKY, MT 59716
· Urgent Care Clinic/Center
· NPI assigned 09/17/2015
Provider Details
| Authorized Official | LIBERTINI, ANGIE (PAYER ENROLLMENT SUPERVISOR) |
| NPI Enumeration Date | 09/17/2015 |
Related Entities
Other providers sharing the same authorized official: LIBERTINI, ANGIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
172 |
$4K |
| 2019 |
54 |
$4K |
| 2020 |
15 |
$995.09 |
| 2022 |
28 |
$3K |
| 2023 |
44 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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 |