Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Kalispell Regional Medical Center, INC

Kalispell Regional Medical Center, INC was paid $399K by Medicaid between Jul 2021 and Nov 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.

33Billing provider infoKALISPELL REGIONAL MEDICAL CENTER, INC
KALISPELL, MT 59901
33aNPI1770173213assigned 01/19/2021
28Total paid$399K
24GClaims5,111
24DCodes billed14
24AFirst – last monthJul 2021 – Nov 2024
Compared with peers

Next to other Orthopaedic Surgery Physician providers in Montana

Rank by total paid#2 of 8
Median peer was paid$130K
This provider vs. median3.1×

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.

Entity ProliferationAuthorized official ABEL, KEVIN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20211,099$76K
20221,868$148K
20231,655$125K
2024incomplete489$51K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 53% 2,545 2,314 $213K
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 15% 500 471 $60K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11% 833 721 $42K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9.9% 406 374 $40K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3.8% 218 209 $15K
64721 3.8% 44 40 $15K
73630 <1% 131 111 $4K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 115 85 $3K
97760 <1% 55 48 $3K
73610 <1% 94 91 $3K
73110 <1% 38 37 $1K
73140 <1% 12 12 $390.20
2 more codes
99024 0% 107 $0.00
20610 0% 13 $0.00

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)
Same official

Other billing entities under ABEL, KEVIN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.