Medicaid Provider Spending

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

KALISPELL REGIONAL MEDICAL CENTER INC

NPI: 1154785822 · KALISPELL, MT 59901 · Pediatric Cardiology Physician · NPI assigned 04/08/2016

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

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

$3.74M
Total Medicaid Paid
32,889
Total Claims
30,817
Beneficiaries
26
Codes Billed
2019-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialABEL, KEVIN (PRESIDENT)
NPI Enumeration Date04/08/2016

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
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
2019 4,421 $444K
2020 4,058 $418K
2021 4,662 $500K
2022 6,104 $722K
2023 7,510 $924K
2024 6,134 $729K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,004 9,410 $1.29M
99215 Prolong outpt/office vis 4,086 3,788 $787K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,433 2,295 $434K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,797 4,549 $422K
99205 Prolong outpt/office vis 825 773 $189K
95812 529 499 $155K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 908 846 $140K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 883 829 $114K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 350 334 $41K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 520 507 $28K
95251 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) 1,088 1,015 $21K
94010 648 613 $19K
93000 837 789 $14K
97803 597 499 $12K
83036 Hemoglobin; glycosylated (A1C) 1,606 1,523 $11K
Q3014 Telehealth originating site facility fee 453 447 $11K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 533 415 $5K
36415 Collection of venous blood by venipuncture 871 846 $4K
95819 35 29 $4K
45380 Colonoscopy, flexible; with biopsy, single or multiple 12 12 $3K
94060 16 15 $697.01
95004 Percutaneous tests with allergenic extracts, immediate type reaction 12 12 $650.01
97802 19 12 $315.02
93325 24 17 $282.39
82948 112 87 $152.32