Physician
Kalispell Regional Medical Center INC
Kalispell Regional Medical Center INC was paid $3.74M by Medicaid between Mar 2019 and Dec 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoKALISPELL REGIONAL MEDICAL CENTER INC
KALISPELL, MT 59901
KALISPELL, MT 59901
33aNPI1154785822assigned 04/08/2016
33bProvider typePediatric Cardiology Physician
28Total paid$3.74M
24GClaims32,889
24DCodes billed26
24AFirst – last monthMar 2019 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official ABEL, KEVIN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 4,421 | $444K | |
| 2020 | 4,058 | $418K | |
| 2021 | 4,662 | $500K | |
| 2022 | 6,104 | $722K | |
| 2023 | 7,510 | $924K | |
| 2024incomplete | 6,134 | $729K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 35% | 10,004 | 9,410 | $1.29M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 21% | 4,086 | 3,788 | $787K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 12% | 2,433 | 2,295 | $434K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 4,797 | 4,549 | $422K |
| 99205 | Prolong outpt/office vis | 5.1% | 825 | 773 | $189K |
| 95812 | 4.1% | 529 | 499 | $155K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.7% | 908 | 846 | $140K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 3.0% | 883 | 829 | $114K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 350 | 334 | $41K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 520 | 507 | $28K |
| 95251 | <1% | 691 | 656 | $27K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,088 | 1,015 | $21K |
14 more codes
| 94010 | <1% | 648 | $19K | |
| 93000 | <1% | 837 | $14K | |
| 97803 | <1% | 597 | $12K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,606 | $11K |
| Q3014 | Telehealth originating site facility fee | <1% | 453 | $11K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 533 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 871 | $4K |
| 95819 | <1% | 35 | $4K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 12 | $3K |
| 94060 | <1% | 16 | $697.01 | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 12 | $650.01 |
| 97802 | <1% | 19 | $315.02 | |
| 93325 | <1% | 24 | $282.39 | |
| 82948 | <1% | 112 | $152.32 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialABEL, KEVIN (PRESIDENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.