Clinic
Kalispell Regional Medical Center, INC
Kalispell Regional Medical Center, INC was paid $6.17M by Medicaid between Jun 2021 and Dec 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoKALISPELL REGIONAL MEDICAL CENTER, INC
KALISPELL, MT 59901
KALISPELL, MT 59901
33aNPI1992395180assigned 01/21/2021
33bProvider typePrimary Care Clinic/Center
28Total paid$6.17M
24GClaims75,396
24DCodes billed47
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Montana
Rank by total paid#1 of 19
Median peer was paid$49K
This provider vs. median126×
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
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 | 14,838 | $1.12M | |
| 2022 | 25,195 | $2.06M | |
| 2023 | 21,237 | $1.78M | |
| 2024incomplete | 14,126 | $1.21M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 60% | 40,821 | 38,547 | $3.71M |
| 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% | 15,712 | 14,657 | $1.82M |
| 98929 | 2.5% | 1,838 | 1,259 | $156K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 1,685 | 1,486 | $101K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 304 | 294 | $39K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,868 | 1,812 | $37K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 254 | 201 | $32K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 230 | 225 | $31K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 217 | 210 | $27K |
| 98927 | <1% | 429 | 326 | $27K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 539 | 530 | $26K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,930 | 1,503 | $21K |
35 more codes
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 981 | $20K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 315 | $17K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,339 | $16K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 634 | $16K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 132 | $15K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,174 | $14K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 258 | $9K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 252 | $5K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 75 | $4K |
| 90670 | <1% | 115 | $4K | |
| 96127 | <1% | 389 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 183 | $3K |
| 99173 | <1% | 509 | $2K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 69 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $2K |
| 90837 | Psychotherapy session, about an hour | <1% | 27 | $2K |
| 90682 | <1% | 24 | $2K | |
| 90651 | <1% | 41 | $1K | |
| 90686 | <1% | 248 | $1K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 183 | $1K |
| 80053 | Comprehensive metabolic panel | <1% | 93 | $959.98 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 98 | $716.08 |
| 90723 | <1% | 41 | $592.30 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 28 | $453.50 |
| 90680 | <1% | 27 | $428.78 | |
| 81002 | <1% | 126 | $400.48 | |
| 90656 | <1% | 40 | $275.21 | |
| 93000 | <1% | 17 | $252.14 | |
| 86140 | <1% | 45 | $223.56 | |
| 87807 | <1% | 13 | $171.35 | |
| 90474 | <1% | 13 | $153.06 | |
| 90647 | <1% | 28 | $103.00 | |
| 81001 | <1% | 13 | $38.04 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 13 | $0.00 |
| 90677 | 0% | 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.