Kalispell Regional Medical Center INC
Kalispell Regional Medical Center INC was paid $254K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 41% of everything it billed.
KALISPELL, MT 59901
Next to other Multi-Specialty Clinic/Center 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 | 946 | $35K | |
| 2019 | 1,304 | $53K | |
| 2020 | 677 | $24K | |
| 2021 | 1,281 | $57K | |
| 2022 | 988 | $37K | |
| 2023 | 988 | $41K | |
| 2024incomplete | 298 | $8K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 41% | 2,063 | 1,026 | $103K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 26% | 926 | 464 | $67K |
| 99223 | Prolong inpt eval add15 m | 12% | 214 | 199 | $30K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 6.8% | 2,562 | 2,190 | $17K |
| 99221 | 5.6% | 163 | 154 | $14K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.2% | 135 | 129 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.0% | 77 | 65 | $8K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.1% | 166 | 106 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 43 | 24 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 15 | 12 | $1K |
| 99307 | <1% | 118 | 83 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.