Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KALISPELL REGIONAL MEDICAL CENTER, INC

NPI: 1992395180 · KALISPELL, MT 59901 · Primary Care Clinic/Center · NPI assigned 01/21/2021

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ABEL, KEVIN controls 20+ related entities in our dataset. Read more

$6.17M
Total Medicaid Paid
75,396
Total Claims
69,519
Beneficiaries
47
Codes Billed
2021-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialABEL, KEVIN (PRESIDENT)
NPI Enumeration Date01/21/2021

Related Entities

Other providers sharing the same authorized official: ABEL, KEVIN

ProviderCityStateTotal Paid
KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT $8.83M
KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT $5.89M
KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT $5.43M
KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT $4.55M
KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT $3.74M
APPLIED HEALTH SERVICES INCORPORATED KALISPELL MT $2.21M
KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT $1.68M
KALISPELL REGIONAL MEDICAL CENTER, INC KALISPELL MT $1.40M
LOGAN HEALTH - WHITEFISH WHITEFISH MT $1.31M
KALISPELL REGIONAL MEDICAL CENTER, INC KALISPELL MT $1.27M
KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT $1.25M
KALISPELL REGIONAL MEDICAL CENTER, INC KALISPELL MT $768K
LOGAN HEALTH - WHITEFISH WHITEFISH MT $706K
KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT $700K
KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT $596K
LOGAN HEALTH EMERGENCY MEDICAL SERVICES KALISPELL MT $561K
KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT $458K
KALISPELL REGIONAL MEDICAL CENTER, INC KALISPELL MT $413K
KALISPELL REGIONAL MEDICAL CENTER, INC KALISPELL MT $399K
KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT $254K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 14,838 $1.12M
2022 25,195 $2.06M
2023 21,237 $1.78M
2024 14,126 $1.21M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40,821 38,547 $3.71M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,712 14,657 $1.82M
98929 1,838 1,259 $156K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,685 1,486 $101K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 304 294 $39K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,868 1,812 $37K
99215 Prolong outpt/office vis 254 201 $32K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 230 225 $31K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 217 210 $27K
98927 429 326 $27K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 539 530 $26K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,930 1,503 $21K
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) 981 943 $20K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 315 310 $17K
36415 Collection of venous blood by venipuncture 3,339 3,157 $16K
90472 Immunization administration, each additional vaccine (list separately) 634 620 $16K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 132 130 $15K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,174 471 $14K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 258 249 $9K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 252 236 $5K
90834 Psychotherapy, 45 minutes with patient 75 58 $4K
90670 115 115 $4K
96127 389 372 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 183 179 $3K
99173 509 497 $2K
71046 Radiologic examination, chest; 2 views 69 68 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 14 13 $2K
90837 Psychotherapy, 53 minutes with patient 27 16 $2K
90682 24 24 $2K
90651 41 39 $1K
90686 248 243 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 183 143 $1K
80053 Comprehensive metabolic panel 93 89 $959.98
85025 Blood count; complete (CBC), automated, and automated differential WBC count 98 91 $716.08
90723 41 40 $592.30
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 28 28 $453.50
90680 27 27 $428.78
81002 126 124 $400.48
90656 40 39 $275.21
93000 17 15 $252.14
86140 45 43 $223.56
87807 13 13 $171.35
90474 13 13 $153.06
90647 28 28 $103.00
81001 13 12 $38.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 13 12 $0.00
90677 12 12 $0.00