Medicaid Provider Spending

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

KALISPELL REGIONAL MEDICAL CENTER, INC

NPI: 1568086452 · KALISPELL, MT 59901 · Multi-Specialty Clinic/Center · NPI assigned 06/05/2020

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

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

$1.40M
Total Medicaid Paid
19,162
Total Claims
16,362
Beneficiaries
16
Codes Billed
2021-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialABEL, KEVIN (PRESIDENT)
NPI Enumeration Date06/05/2020

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 $1.68M
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
2021 4,754 $303K
2022 5,374 $400K
2023 5,038 $409K
2024 3,996 $285K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,438 8,913 $810K
90837 Psychotherapy, 53 minutes with patient 3,690 1,832 $274K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,014 1,882 $128K
98929 839 699 $61K
90791 Psychiatric diagnostic evaluation 548 525 $45K
98928 433 398 $31K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,181 1,141 $17K
96136 528 507 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 65 62 $10K
80305 273 271 $3K
98927 46 43 $2K
99215 Prolong outpt/office vis 13 12 $2K
64483 13 12 $2K
20552 27 27 $1K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 23 12 $48.58
J3490 Unclassified drugs 31 26 $0.00