Kalispel Indian Community of the Kalispel Reservation Washington

Kalispel Indian Community of the Kalispel Reservation Washington was paid $6.43M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.

33Billing provider infoKALISPEL INDIAN COMMUNITY OF THE KALISPEL RESERVATION WASHINGTON
CUSICK, WA 99119

33aNPI1396937769assigned 08/09/2007

33bProvider typeHealth Service Clinic/Center

28Total paid$6.43M

24GClaims24,731

24DCodes billed23

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Health Service Clinic/Center providers in Washington

Rank by total paid#2 of 19

Median peer was paid$104K

This provider vs. median62×

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	2,292	$426K
2019	1,981	$333K
2020	2,739	$466K
2021	4,485	$913K
2022	5,027	$1.45M
2023	4,967	$1.63M
2024incomplete	3,240	$1.21M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	95%	13,676	10,456	$6.10M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.5%	4,191	3,551	$164K
D0140	Limited oral evaluation - problem focused	<1%	1,485	1,345	$38K
D1110	Prophylaxis - adult	<1%	590	573	$26K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	612	593	$17K
D0150	Comprehensive oral evaluation - new or established patient	<1%	480	461	$16K
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%	218	188	$10K
D0220	Intraoral - periapical first radiographic image	<1%	1,009	957	$8K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	333	116	$8K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	111	81	$8K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	562	466	$6K
D0274	Bitewings - four radiographic images	<1%	435	422	$6K

11 more codes

D7140	Extraction, erupted tooth or exposed root	<1%	113	$5K
D0210	Intraoral - complete series of radiographic images	<1%	73	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	117	$3K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	144	$2K
D1206	Topical application of fluoride varnish	<1%	155	$2K
D1120	Dental cleaning, child	<1%	100	$2K
99215	Doctor's office visit, returning patient (complex)	<1%	31	$2K
98942		<1%	56	$735.46
36415	Collection of venous blood by venipuncture	<1%	147	$460.38
97113		<1%	23	$433.20
D0230	Intraoral - periapical each additional radiographic image	<1%	70	$97.65

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 officialKERSTING, CLAYTON (DIRECTOR OF MEDICAL SERVICES)