Clinic
Kalispell Regional Medical Center INC
Kalispell Regional Medical Center INC was paid $5.43M by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99284, emergency room visit (serious) — 48% of everything it billed.
33Billing provider infoKALISPELL REGIONAL MEDICAL CENTER INC
KALISPELL, MT 59901
KALISPELL, MT 59901
33aNPI1801840780assigned 05/22/2006
33bProvider typeEmergency Care Clinic/Center
28Total paid$5.43M
24GClaims45,122
24DCodes billed7
24AFirst – last monthJan 2018 – 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 | |
|---|---|---|---|
| 2018 | 7,601 | $623K | |
| 2019 | 7,401 | $846K | |
| 2020 | 5,867 | $668K | |
| 2021 | 7,201 | $896K | |
| 2022 | 7,184 | $912K | |
| 2023 | 6,359 | $956K | |
| 2024incomplete | 3,509 | $530K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 48% | 21,972 | 21,250 | $2.63M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 40% | 13,151 | 12,648 | $2.15M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 12% | 9,813 | 9,463 | $650K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 92 | 89 | $4K |
| 80053 | Comprehensive metabolic panel | 0% | 37 | 28 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 41 | 29 | $0.00 |
| 81003 | 0% | 16 | 12 | $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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.