Clinic
Kalispell Regional Med Center INC
Kalispell Regional Med Center INC was paid $401K by Medicaid between Jan 2018 and Feb 2019, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoKALISPELL REGIONAL MED CENTER INC
KALISPELL, MT 59901
KALISPELL, MT 59901
33aNPI1164720769assigned 03/05/2011
33bProvider typeClinic/Center
28Total paid$401K
24GClaims3,769
24DCodes billed8
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other Clinic/Center providers in Montana
Rank by total paid#22 of 91
Median peer was paid$152K
This provider vs. median2.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
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 | |
|---|---|---|---|
| 2018 | 3,367 | $358K | |
| 2019 | 402 | $43K |
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 | 48% | 2,084 | 1,864 | $194K |
| 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 | 30% | 801 | 746 | $120K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 12% | 401 | 371 | $48K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.7% | 397 | 372 | $27K |
| 99205 | Prolong outpt/office vis | 1.6% | 28 | 27 | $7K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.3% | 25 | 25 | $5K |
| 97802 | <1% | 18 | 16 | $469.16 | |
| 91200 | <1% | 15 | 14 | $184.03 |
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 officialROBERTSON, PAMELA (PRESIDENT/CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Kalispell Regional Medical Center INC | Whitefish, MT | $6K |
| Kalispell Regional Medical Center INC | Kalispell, MT | $628.54 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.