Physician
Caromont Medical Group INC
Caromont Medical Group INC was paid $629K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 45% of everything it billed.
33Billing provider infoCAROMONT MEDICAL GROUP INC
MCADENVILLE, NC 28101
MCADENVILLE, NC 28101
33aNPI1003097023assigned 11/19/2007
33bProvider typeFamily Medicine Physician
28Total paid$629K
24GClaims45,268
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#205 of 960
Median peer was paid$135K
This provider vs. median4.7×
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 OCONNOR, DAVID 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 | |
|---|---|---|---|
| 2018 | 763 | $33K | |
| 2019 | 771 | $42K | |
| 2020 | 641 | $36K | |
| 2021 | 5,447 | $62K | |
| 2022 | 7,622 | $96K | |
| 2023 | 11,490 | $133K | |
| 2024incomplete | 18,534 | $227K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 45% | 38,631 | 21,655 | $281K |
| 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 | 37% | 3,693 | 3,304 | $230K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 2,500 | 2,134 | $115K |
| 90686 | <1% | 220 | 204 | $1K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 18 | 17 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 49 | 48 | $714.55 |
| 90656 | <1% | 17 | 16 | $104.53 | |
| 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% | 51 | 48 | $95.14 |
| G0008 | Administration of influenza virus vaccine | 0% | 19 | 15 | $0.00 |
| 3074F | 0% | 26 | 22 | $0.00 | |
| 3078F | 0% | 44 | 39 | $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 officialOCONNOR, DAVID (CFO)
Parent organizationCAROMONT MEDICAL GROUP INC
| Provider | Location | Paid |
|---|---|---|
| Caromont Medical Group INC | Belmont, NC | $3.81M |
| Caromont Medical Group, INC. | Gastonia, NC | $2.77M |
| Caromont Medical Group, INC. | Gastonia, NC | $2.41M |
| Caromont Medical Group, INC. | Dallas, NC | $1.79M |
| Caromont Medical Group, INC. | Gastonia, NC | $1.72M |
| Mass Surgical Supply, LLC | Holyoke, MA | $1.59M |
| Caromont Medical Group INC | Gastonia, NC | $1.37M |
| Caromont Medical Group INC | Gastonia, NC | $1.20M |
| Caromont Medical Group INC | Gastonia, NC | $1.19M |
| Caromont Medical Group INC | Gastonia, NC | $1.07M |
| Caromont Medical Group, INC. | Belmont, NC | $1.07M |
| Caromont Medical Group INC | Gastonia, NC | $911K |
| Caromont Medical Group INC | Cherryville, NC | $842K |
| Caromont Medical Group INC | Gastonia, NC | $761K |
| Caromont Medical Group INC | Shelby, NC | $621K |
| Caromont Medical Group INC | Gastonia, NC | $619K |
| Caromont Medical Group, INC. | Belmont, NC | $592K |
| Caromont Medical Group INC | Gastonia, NC | $590K |
| Caromont Medical Group, INC. | Dallas, NC | $540K |
| Caromont Medical Group INC | Belmont, NC | $489K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.