Medicaid Provider Spending

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

KALISPELL REGIONAL MEDICAL CENTER INC

NPI: 1174956973 · KALISPELL, MT 59901 · Psychiatry Physician · NPI assigned 08/15/2013

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

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

$5.89M
Total Medicaid Paid
60,279
Total Claims
47,047
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialABEL, KEVIN (PRESIDENT)
NPI Enumeration Date08/15/2013

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 $5.43M
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 $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 9,241 $780K
2019 11,538 $959K
2020 7,721 $685K
2021 9,196 $907K
2022 9,443 $1.03M
2023 8,817 $986K
2024 4,323 $546K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,683 20,266 $2.65M
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 11,329 10,709 $813K
90837 Psychotherapy, 53 minutes with patient 9,475 4,413 $755K
99233 Prolong inpt eval add15 m 3,726 1,031 $492K
99215 Prolong outpt/office vis 1,791 1,564 $300K
99232 Subsequent hospital care, per day, moderate complexity 3,376 1,169 $252K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,759 2,598 $213K
99223 Prolong inpt eval add15 m 333 300 $73K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 362 349 $63K
99231 Subsequent hospital care, per day, straightforward or low complexity 961 543 $42K
99443 353 293 $31K
99354 210 199 $29K
99205 Prolong outpt/office vis 127 114 $28K
99239 Hospital discharge day management, more than 30 minutes 183 177 $24K
90836 382 339 $24K
90834 Psychotherapy, 45 minutes with patient 319 228 $19K
96127 1,904 1,844 $16K
99356 139 108 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 198 194 $11K
99442 175 161 $10K
90792 Psychiatric diagnostic evaluation with medical services 58 58 $8K
99238 Hospital discharge day management, 30 minutes or less 101 91 $7K
90791 Psychiatric diagnostic evaluation 65 59 $6K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 64 56 $4K
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) 33 24 $3K
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) 84 81 $2K
99417 Prolong home eval add 15m 32 28 $1K
99418 Prolong nursin fac eval 15m 15 12 $1K
90838 14 12 $988.80
90785 12 12 $218.17
99441 16 15 $0.00