Kalispell Obstetrics & Gynecology PLLC
Kalispell Obstetrics & Gynecology PLLC was paid $99K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 81% of everything it billed.
33Billing provider infoKALISPELL OBSTETRICS & GYNECOLOGY PLLC
KALISPELL, MT 59901
KALISPELL, MT 59901
33aNPI1285830646assigned 06/22/2007
33bProvider typeSpecialist
28Total paid$99K
24GClaims2,850
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in Montana
Rank by total paid#10 of 22
Median peer was paid$67K
This provider vs. median1.5×
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 | 317 | $17K | |
| 2019 | 436 | $17K | |
| 2020 | 532 | $20K | |
| 2021 | 790 | $24K | |
| 2022 | 283 | $10K | |
| 2023 | 436 | $9K | |
| 2024incomplete | 56 | $2K |
Box 24 · Service lines
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 | 81% | 1,122 | 1,010 | $80K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.0% | 49 | 42 | $7K |
| 96127 | 5.0% | 973 | 868 | $5K | |
| 36415 | Collection of venous blood by venipuncture | 2.0% | 591 | 539 | $2K |
| 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 | 1.5% | 14 | 13 | $2K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 1.5% | 33 | 32 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $750.44 |
| 99459 | <1% | 27 | 25 | $720.11 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | 12 | $234.52 |
| 81025 | <1% | 14 | 12 | $96.58 |
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 officialBEATTIE, HAYLEY (OFFICE MANAGER)