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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHealthcenter Northwest LLC
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    Healthcenter Northwest LLC — Billing Profile & Reimbursement Data

    NPI 1124007638 · Kalispell, MT · General Acute Care Hospital

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    Healthcenter Northwest LLC is a general acute care hospital provider located in Kalispell, Montana. This profile covers 0 Medicare and 99 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationHealthcenter Northwest LLC
    Address320 Sunnyview Ln
    CityKalispell
    StateMT
    ZIP59901
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedJanuary 12, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$772.9K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    99 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…1,150$100$118.1K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.300$320$94.1K
    70551The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.760$110$82.5K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.1,010$80$81.6K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.1,290$50$57.9K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.500$110$56.2K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.1,180$40$48.2K
    C1713Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)570$50$29.9K
    76700An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…770$30$24.5K
    72141In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.700$30$21.8K

    Showing 1–10 of 99

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Montana median

    99 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…18303,780$40$222.6K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.42040$1,180$169.3K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…6701,200750$80$143.2K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.25501,150$50$119.8K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…610210$270$90.8K
    D1120Prophylaxis–child159180200$30$88.4K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.1330470$80$64.1K
    G0378Hospital observation service, per hour20301,610$20$60.4K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.22030$400$56.1K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…1420350$80$54.9K

    Showing 1–10 of 99

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Healthcenter Northwest LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northwest Imaging, PCMTDiagnostic Radiology Physician$0$1.6M
    Healthcenter Northwest LLCMTMulti-Specialty Clinic/Center$0$845.2K
    Kalispell Regional Medical Center, IncMTGastroenterology Physician$0$414.3K
    Patrick McdonnellNMDiagnostic Radiology Physician$142.3K$0
    Valerie StineMTDiagnostic Radiology Physician$132.8K$0
    Kara HeuvelhorstWIDiagnostic Radiology Physician$131.4K$0
    Michael HensonMTDiagnostic Radiology Physician$129.7K$0
    William BenedettoMTDiagnostic Radiology Physician$122.4K$0
    Andrew ZiegertWIDiagnostic Radiology Physician$120.9K$0
    Kelly KieperNMDiagnostic Radiology Physician$117.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Healthcenter Northwest LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Flathead IndustriesMTCommunity/Behavioral Health Agency$0$40.7M
    A Plus Health Care IncMTIn Home Supportive Care Agency$0$28.2M
    Gabriel DawsonMTPediatric Dentistry$0$10.7M
    Kalispell Regional Medical Center IncMTGeneral Acute Care Hospital$0$8.8M
    Benefis Community Care, Inc.MTCase Management Agency$0$6.8M
    Kiddsteeth PLLCMTPediatric Dentistry$0$6.7M
    Kalispell Regional Medical Center, IncMTClinic/Center$0$6.2M
    Kalispell Public SchoolsMTLocal Education Agency (LEA)$0$6M
    Kalispell Regional Medical Center IncMTPsychiatry Physician$0$5.9M
    Kalispell Regional Medical Center IncMTEmergency Medicine Physician$0$5.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Montana Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Montana Distribution
    Healthcenter Northwest LLC — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana