Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Montana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Montana only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Montana (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

John Kalbfleisch (NPI 1609824283)

Field	Value
Entity Type	Individual
Organization	John Kalbfleisch
Address	1111 Baker Ave
City	Whitefish
State	MT
ZIP	59937
Taxonomy	Family Medicine Physician
NPI Enumerated	May 5, 2006

Payer Source	Total Paid
Medicare	$306.1K
Medicaid	$0

Key Findings

This clinician is a Family Medicine Physician whose Medicare code mix indicates a traditional primary care practice with strong emphasis on office-based evaluation/management, routine immunizations, preventive visits, and basic in-office procedures. The top revenue lines are 99214 office visits ($153.4K), pneumococcal vaccine 90677 ($39.3K), and Annual Wellness Visit G0439 ($23K), and the presence of lab panels (80053, 85025, 83036) and lesion-destruction codes (17000, 17003) suggests on-site testing and minor procedures complement routine primary care encounters.

Revenue is highly concentrated: the precomputed top-3 Medicare codes account for 71.6% of this provider’s total Medicare revenue, and 99214 alone represents 50.9% of Medicare revenue. With lifetime Medicare revenue of $306.1K, this concentration indicates most revenue is sourced from moderate-complexity established patient visits rather than a broad mix of low-revenue ancillary services.

This provider is effectively single-payer at the moment: Medicare revenue is $306.1K while there is no Medicaid billing on file. The absence of Medicaid activity means the practice’s public-payer exposure is concentrated entirely in Medicare, which heightens sensitivity to Medicare policy or patient-population shifts.

Competitive standing varies by service line. For 99214 the provider ranks #2607 of 479517 nationally (99th percentile) and is described as an "extreme outlier, far above typical national volume" — indicating unusually high national activity for moderate-complexity visits. Vaccination codes such as 90677 (rank #320 of 52451, 99th percentile) and G0009 (rank #346 of 58343, 99th percentile) also sit at high national percentiles but are characterized as typical volumes for those codes, signaling unusually high vaccination throughput without an atypical billing pattern for immunizations.

Preventive care and chronic-condition services are material components of the clinical portfolio. Annual Wellness Visit G0439 contributes $23K and ranks in the 87th percentile, while chronic care management 99490 generated $9.7K across 221 claims; laboratory testing codes (83036 $3.8K, 80053 $6.9K, 85025 $5.9K) further support active management of chronic disease and routine preventive monitoring in this panel.

The practice provides a mix of minor procedures and in-office interventions alongside primary care visits: lesion destruction codes 17000 ($7.1K) and 17003 ($2.8K) appear in the top codes, and specimen collection 36415 ($4.2K) is high-volume. This combination points to a generalist practice that augments visit-based revenue with focused procedural and point-of-care services.

Claim-level volumes show a skew toward higher-complexity E/M encounters rather than low-level visits: 99214 has 1.7K claims versus 99213 at 86 claims and 99215 at 12 claims, reflecting a case mix concentrated in moderate-complexity established patient care. High counts for basic lab and vaccine administration codes (for example, 36415 at 847 claims, G0439 at 181 claims, 90677 at 139 claims) reinforce a workflow that couples frequent office visits with routine preventive and immunization services.

The provider has an established enrollment history (NPI enumerated 2006-05-05, approximately 20 years), which suggests the observed Medicare billing pattern has a long-tenured operational basis. Given the modest total Medicare revenue ($306.1K) but high relative volumes on specific codes (notably 99214), the practice appears to be a small-to-midsize primary care operation with a narrowly concentrated Medicare revenue stream and sustained service emphases over time.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

45 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,670	$90	$153.4K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	140	$280	$39.3K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	180	$130	$23K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	220	$40	$9.7K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	130	$70	$9.5K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	150	$50	$7.1K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	690	$10	$6.9K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	740	$10	$5.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	90	$60	$5.2K
G0008	Administration of influenza virus vaccine	150	$30	$4.3K

Showing 1–10 of 45

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 45 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

John Kalbfleisch — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

45 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2	1,810	100	$70	$12.4K
G0439	77	370	90	$90	$10.7K
17000	57	110	190	$30	$9.6K
99490	10	30	140	$40	$8K
99215	737	780	40	$100	$7.9K
90662	57	180	70	$70	$7.9K
90677	2	170	20	$280	$7.5K
99213	852	1,730	90	$50	$7.2K
17003	55	90	860	$1	$4.8K
84443	11	40	70	$20	$4.4K

Showing 1–10 of 45

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Glacier Medical Associates	MT	Family Medicine Physician	$0	$5M
Daniel Munzing	MT	Family Medicine Physician	$176.1K	$0
Jennie Eckstrom	MT	Family Medicine Physician	$166K	$0
Jon Miller	MT	Family Medicine Physician	$163.6K	$0
Courtney Austin	MT	Internal Medicine Physician	$134.2K	$0
Hikmat Maaliki	MT	Family Medicine Physician	$127K	$0
Jeremy Jennings	MT	Internal Medicine Physician	$119.2K	$0
Robert Nitschelm	MT	Family Medicine Physician	$108.5K	$0
Karen Vesely	MT	Family Medicine Physician	$102.1K	$0
Jay Erickson	MT	Family Medicine Physician	$99.2K	$0

Nearby Providers

Other providers in the same ZIP code as John Kalbfleisch, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Whitefish School District #44	MT	Local Education Agency (LEA)	$0	$1.4M
Logan Health - Whitefish	MT	Psychiatry Physician	$0	$1.3M
Whitefish Physical Therapy & Sports Rehab, Inc.	MT	Physical Therapist	$0	$707.8K
Logan Health - Whitefish	MT	Critical Access Hospital	$0	$696.3K
Angela Garrett	MT	Mental Health Counselor	$0	$637.8K
Angie Spring	MT	Speech-Language Pathologist	$0	$421K
Gfc Inc	MT	Chiropractor	$0	$365.9K
City Of Whitefish	MT	Land Ambulance	$215.9K	$83.1K
Big Mountain Chiropractic, P.C.	MT	Chiropractor	$0	$253.2K
Walgreen Co	MT	Pharmacy	$102.3K	$0

John Kalbfleisch — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References