Physician
Kalispell Regional Medical Center INC
Kalispell Regional Medical Center INC was paid $5.89M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoKALISPELL REGIONAL MEDICAL CENTER INC
KALISPELL, MT 59901
KALISPELL, MT 59901
33aNPI1174956973assigned 08/15/2013
33bProvider typePsychiatry Physician
28Total paid$5.89M
24GClaims60,279
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychiatry Physician providers in Montana
Rank by total paid#3 of 13
Median peer was paid$808K
This provider vs. median7.3×
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.
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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 4,323 | $546K |
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 | 45% | 21,683 | 20,266 | $2.65M |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 14% | 11,329 | 10,709 | $813K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 13% | 9,475 | 4,413 | $755K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.4% | 3,726 | 1,031 | $492K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.1% | 1,791 | 1,564 | $300K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.3% | 3,376 | 1,169 | $252K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 2,759 | 2,598 | $213K |
| 99223 | Prolong inpt eval add15 m | 1.2% | 333 | 300 | $73K |
| 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 | 1.1% | 362 | 349 | $63K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 961 | 543 | $42K |
| 99443 | <1% | 353 | 293 | $31K | |
| 99354 | <1% | 210 | 199 | $29K |
19 more codes
| 99205 | Prolong outpt/office vis | <1% | 127 | $28K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 183 | $24K |
| 90836 | <1% | 382 | $24K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 319 | $19K |
| 96127 | <1% | 1,904 | $16K | |
| 99356 | <1% | 139 | $15K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 198 | $11K |
| 99442 | <1% | 175 | $10K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 58 | $8K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 101 | $7K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 65 | $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) | <1% | 64 | $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) | <1% | 33 | $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) | <1% | 84 | $2K |
| 99417 | Prolong home eval add 15m | <1% | 32 | $1K |
| 99418 | Prolong nursin fac eval 15m | <1% | 15 | $1K |
| 90838 | <1% | 14 | $988.80 | |
| 90785 | <1% | 12 | $218.17 | |
| 99441 | 0% | 16 | $0.00 |
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.