Northwest Orthopedics and Sports Medicine LLC
Northwest Orthopedics and Sports Medicine LLC was paid $317K by Medicaid between Jan 2018 and Dec 2020, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
KALISPELL, MT 59901
Next to other Clinic/Center providers in Montana
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,852 | $94K | |
| 2019 | 2,137 | $117K | |
| 2020 | 1,636 | $106K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 60% | 3,287 | 2,886 | $191K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 25% | 845 | 743 | $79K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.7% | 472 | 436 | $18K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.7% | 128 | 115 | $8K |
| 73610 | 2.4% | 274 | 252 | $8K | |
| 73630 | 1.4% | 186 | 149 | $4K | |
| 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 | 1.4% | 46 | 42 | $4K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 97 | 69 | $2K |
| 73100 | <1% | 33 | 29 | $1K | |
| 73564 | <1% | 16 | 14 | $607.28 | |
| 97760 | <1% | 14 | 12 | $463.29 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 26 | 24 | $243.62 |
1 more codes
| 99024 | 0% | 201 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Kalispell Regional Medical Center INC | Kalispell, MT | $2.11M |
| Kalispell Regional Medical Center INC | Kalispell, MT | $2.07M |
| Kalispell Regional Medical Center INC | Polson, MT | $419K |
| Kalispell Regional Medical Center INC | Kalispell, MT | $297K |
| Kalispell Regional Medical Center INC | Kalispell, MT | $179K |
| Kalispell Regional Medical Center INC | Kalispell, MT | $157K |
| Kalispell Regional Medical Center INC | Bigfork, MT | $126K |
| Kalispell Regional Medical Center INC | Lakeside, MT | $113K |
| Kalispell Regional Medical Center INC | Kalispell, MT | $108K |
| Kalispell Regional Medical Center INC | Kalispell, MT | $85K |
| Kalispell Regional Medical Center INC | Kalispell, MT | $15K |
| Kalispell Regional Medical Center INC | Libby, MT | $11K |
| Kalispell Regional Medical Center INC | Kalispell, MT | $5K |
| Kalispell Regional Medical Center, INC. | Kalispell, MT | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.