Medicaid Provider Spending

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

KALISPELL REGIONAL MEDICAL CENTER INC

NPI: 1295006070 · KALISPELL, MT 59901 · Neurological Surgery Physician · NPI assigned 01/25/2012

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

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

$1.68M
Total Medicaid Paid
14,046
Total Claims
12,144
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialABEL, KEVIN (PRESIDENT)
NPI Enumeration Date01/25/2012

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 $5.89M
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 $1.40M
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 4,310 $369K
2019 2,863 $219K
2020 1,883 $155K
2021 1,472 $148K
2022 1,400 $227K
2023 1,829 $448K
2024 289 $110K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J0585 Injection, onabotulinumtoxina, 1 unit 485 366 $435K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,153 3,856 $320K
95886 2,735 1,736 $257K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,663 3,365 $211K
95911 511 478 $102K
64615 533 495 $81K
99215 Prolong outpt/office vis 478 453 $71K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 338 319 $47K
99205 Prolong outpt/office vis 208 194 $35K
95819 166 146 $28K
95909 240 220 $27K
95812 91 89 $26K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 140 132 $15K
99284 Emergency department visit for the evaluation and management, high severity 75 73 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 115 109 $4K
99283 Emergency department visit for the evaluation and management, moderate severity 50 50 $4K
95816 12 12 $3K
95910 12 12 $1K
99417 Prolong home eval add 15m 26 24 $864.34
G0463 Hospital outpatient clinic visit for assessment and management of a patient 15 15 $0.00