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    OpenPayerNPI Medicare & MedicaidKalispell Regional Medical Center Inc
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    Kalispell Regional Medical Center Inc — Billing Profile & Reimbursement Data

    NPI 1891096590 · Kalispell, MT · Clinic/Center

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    Kalispell Regional Medical Center Inc is a clinic/center provider located in Kalispell, Montana. This profile covers 0 Medicare and 12 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
    OrganizationKalispell Regional Medical Center Inc
    Address70 Village Loop Rd
    CityKalispell
    StateMT
    ZIP59901
    TaxonomyClinic/Center
    NPI EnumeratedNovember 11, 2010

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

    Payer SourceTotal Paid
    Medicaid$295.8K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…1,690$90$148.5K
    99213The 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…1,830$70$124.1K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.330$20$6.2K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…50$100$4.4K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.30$120$4K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.30$120$3.5K
    S0281Medical home program, comprehensive care coordination and planning, maintenance of plan510$1$2K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…10$130$1.5K
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…100$10$610
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.310$1$610

    Showing 1–10 of 12

    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

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The 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…149530580$70$224.6K
    99213The 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…186520730$40$196.4K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…6970310$90$107.1K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…118160250$110$85.9K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.6680130$80$43.2K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.98190390$10$19.6K
    96110The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…2830600$10$16.7K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.8011080$60$13.2K
    S0281Medical home program, comprehensive care coordination and planning, maintenance of plan19301,160$1$7.1K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.124190950$1$4.9K

    Showing 1–10 of 12

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Kalispell Regional Medical Center Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kalispell Regional Medical Center IncMTGeneral Acute Care Hospital$0$8.8M
    Kalispell Regional Medical Center, IncMTClinic/Center$0$6.2M
    Kalispell Regional Medical Center IncMTPsychiatry Physician$0$5.9M
    Kalispell Regional Medical Center IncMTEmergency Medicine Physician$0$5.4M
    Kalispell Regional Medical Center IncMTPrimary Care Clinic/Center$0$4.5M
    Kalispell Regional Medical Center IncMTPediatrics Physician$0$3.7M
    Kalispell Regional Medical Center IncMTClinic/Center$0$2.1M
    Kalispell Regional Medical Center IncMTClinic/Center$0$2.1M
    Kalispell Regional Medical Center IncMTNeurology Physician$0$1.7M
    Kalispell Regional Medical Center, IncMTMulti-Specialty Clinic/Center$0$1.4M

    Nearby Providers

    Other providers in the same ZIP code as Kalispell Regional Medical Center Inc, 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
    Benefis Community Care, Inc.MTCase Management Agency$0$6.8M
    Kiddsteeth PLLCMTPediatric Dentistry$0$6.7M
    Kalispell Public SchoolsMTLocal Education Agency (LEA)$0$6M
    Sunburst Community Service Foundation, IncMTMental Health Clinic/Center (Including Community Mental Health Center)$0$5.3M
    OxytocinMTSubstance Use Disorder Rehabilitation Clinic/Center$0$4.8M
    Glacier Grins Pediatric Dentistry, PLLCMTDental Clinic/Center$0$3.8M
    Kalispell Rehabilitation Associates, IncMTPhysical Therapist$0$3.6M

    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 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Montana Distribution
    Kalispell Regional Medical Center Inc — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana