Medicaid Provider Spending

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

KALISPELL REGIONAL MEDICAL CENTER INC

NPI: 1053798710 · KALISPELL, MT 59901 · Maternal & Fetal Medicine Physician · NPI assigned 05/01/2015

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

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

$700K
Total Medicaid Paid
8,439
Total Claims
5,946
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialABEL, KEVIN (PRESIDENT)
NPI Enumeration Date05/01/2015

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 $4.55M
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 $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 2,118 $112K
2019 1,169 $117K
2020 1,439 $163K
2021 1,648 $135K
2022 809 $74K
2023 833 $63K
2024 423 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,708 2,043 $290K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,578 1,007 $132K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 528 429 $87K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,321 979 $72K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 990 691 $63K
76819 Fetal biophysical profile; without non-stress testing 419 200 $36K
76820 225 71 $7K
99215 Prolong outpt/office vis 63 27 $5K
96127 227 219 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 14 13 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 33 16 $1K
76813 16 12 $951.68
76801 16 12 $800.51
36415 Collection of venous blood by venipuncture 301 227 $666.82