Kalispell Regional Medical Center INC
Kalispell Regional Medical Center INC was paid $11K by Medicaid between Jan 2018 and Jul 2019, across 3 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 54% of everything it billed.
LIBBY, MT 59923
Next to other Surgery Physician 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 | 183 | $8K | |
| 2019 | 94 | $3K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 54% | 234 | 185 | $6K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 24% | 13 | 12 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 22% | 30 | 27 | $3K |
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 |
| Northwest Orthopedics and Sports Medicine LLC | Kalispell, MT | $317K |
| 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 | 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.