Medicaid Provider Spending

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

KALISPELL REGIONAL MEDICAL CENTER INC

NPI: 1013272459 · KALISPELL, MT 59901 · Primary Care Clinic/Center · NPI assigned 07/11/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ABEL, KEVIN controls 20+ related entities in our dataset. Read more

$4.55M
Total Medicaid Paid
89,976
Total Claims
86,395
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialABEL, KEVIN (PRESIDENT)
NPI Enumeration Date07/11/2012

Related Entities

Other providers sharing the same authorized official: ABEL, KEVIN

ProviderCityStateTotal Paid
KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT $8.83M
KALISPELL REGIONAL MEDICAL CENTER, INC KALISPELL MT $6.17M
KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT $5.89M
KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT $5.43M
KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT $3.74M
APPLIED HEALTH SERVICES INCORPORATED KALISPELL MT $2.21M
KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT $1.68M
KALISPELL REGIONAL MEDICAL CENTER, INC KALISPELL MT $1.40M
LOGAN HEALTH - WHITEFISH WHITEFISH MT $1.31M
KALISPELL REGIONAL MEDICAL CENTER, INC KALISPELL MT $1.27M
KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT $1.25M
KALISPELL REGIONAL MEDICAL CENTER, INC KALISPELL MT $768K
LOGAN HEALTH - WHITEFISH WHITEFISH MT $706K
KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT $700K
KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT $596K
LOGAN HEALTH EMERGENCY MEDICAL SERVICES KALISPELL MT $561K
KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT $458K
KALISPELL REGIONAL MEDICAL CENTER, INC KALISPELL MT $413K
KALISPELL REGIONAL MEDICAL CENTER, INC KALISPELL MT $399K
KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT $254K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,943 $745K
2019 18,583 $859K
2020 13,074 $594K
2021 11,678 $614K
2022 10,978 $639K
2023 10,564 $644K
2024 7,156 $455K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,165 16,136 $1.54M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,522 6,320 $792K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,339 5,102 $586K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 17,198 16,593 $359K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,659 2,580 $325K
90472 Immunization administration, each additional vaccine (list separately) 9,815 9,483 $247K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,370 1,287 $182K
90670 4,015 3,884 $153K
96110 Developmental screening, with scoring and documentation, per standardized instrument 7,654 7,433 $90K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 392 381 $52K
90723 2,670 2,575 $38K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 631 599 $34K
90680 2,175 2,084 $33K
90474 2,090 2,004 $26K
90686 4,580 4,445 $24K
90647 2,507 2,417 $13K
90710 175 174 $11K
90633 1,037 1,012 $9K
90677 240 238 $7K
90651 33 33 $4K
96127 416 403 $3K
90685 518 498 $3K
90716 58 58 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 138 114 $2K
90707 69 69 $2K
99460 14 12 $1K
99238 Hospital discharge day management, 30 minutes or less 15 13 $1K
90656 214 188 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $731.38
90734 12 12 $730.50
90700 58 58 $583.46
0072A 13 13 $520.00
90480 14 14 $468.30
90672 54 51 $433.05
90473 16 15 $301.88
90715 12 12 $228.54
90696 26 26 $202.24
81002 26 24 $48.72
96161 24 23 $3.46