Physician
Kalispell Regional Medical Center, INC
Kalispell Regional Medical Center, INC was paid $413K by Medicaid between Jan 2021 and Nov 2024, across 11 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 41% of everything it billed.
33Billing provider infoKALISPELL REGIONAL MEDICAL CENTER, INC
KALISPELL, MT 59901
KALISPELL, MT 59901
33aNPI1609490010assigned 06/01/2020
33bProvider typeGastroenterology Physician
28Total paid$413K
24GClaims3,721
24DCodes billed11
24AFirst – last monthJan 2021 – Nov 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official ABEL, KEVIN controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2021 | 525 | $46K | |
| 2022 | 1,094 | $135K | |
| 2023 | 1,349 | $137K | |
| 2024incomplete | 753 | $94K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 41% | 1,193 | 1,107 | $169K |
| 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 | 30% | 1,235 | 1,173 | $126K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 597 | 563 | $45K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 10% | 470 | 419 | $42K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 2.4% | 54 | 51 | $10K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1.6% | 27 | 26 | $7K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.1% | 37 | 37 | $5K |
| 99205 | Prolong outpt/office vis | 1.1% | 21 | 21 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 60 | 58 | $3K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 13 | 12 | $2K |
| 43249 | <1% | 14 | 12 | $1K |
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 officialABEL, KEVIN (PRESIDENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.