Kalispell Regional Medical Center INC
Kalispell Regional Medical Center INC was paid $1.25M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 46% 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 | 4,910 | $223K | |
| 2019 | 5,058 | $221K | |
| 2020 | 4,082 | $189K | |
| 2021 | 4,537 | $240K | |
| 2022 | 4,606 | $215K | |
| 2023 | 3,606 | $100K | |
| 2024incomplete | 2,408 | $61K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 46% | 6,655 | 6,276 | $577K |
| 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 | 16% | 2,897 | 2,553 | $196K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.8% | 599 | 569 | $98K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 7.4% | 13,490 | 11,421 | $92K |
| 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 | 5.0% | 411 | 362 | $63K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.3% | 1,185 | 1,062 | $53K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 3.9% | 314 | 267 | $49K |
| 99205 | Prolong outpt/office vis | 2.9% | 167 | 159 | $36K |
| 93000 | 2.7% | 2,049 | 1,892 | $34K | |
| 93320 | <1% | 311 | 260 | $11K | |
| 93325 | <1% | 706 | 605 | $10K | |
| 93304 | <1% | 74 | 61 | $9K |
8 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 91 | $6K |
| 93307 | <1% | 40 | $5K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 34 | $5K |
| 93321 | <1% | 102 | $2K | |
| 94729 | <1% | 36 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $744.10 |
| 93016 | <1% | 17 | $234.41 | |
| 93018 | <1% | 17 | $168.85 |
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.