Caldwell Memorial Hospital, INC
Caldwell Memorial Hospital, INC was paid $1.65M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
LENOIR, NC 28645
Next to other Family Medicine Physician providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,004 | $172K | |
| 2019 | 5,605 | $197K | |
| 2020 | 3,188 | $117K | |
| 2021 | 11,066 | $248K | |
| 2022 | 14,967 | $318K | |
| 2023 | 18,183 | $313K | |
| 2024incomplete | 19,801 | $281K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 60% | 27,444 | 23,475 | $988K |
| 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 | 23% | 9,224 | 7,490 | $378K |
| 99199 | Unlisted special service, procedure or report | 16% | 40,915 | 31,036 | $264K |
| 99051 | <1% | 300 | 286 | $7K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 40 | 37 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 123 | 107 | $2K |
| 90686 | <1% | 275 | 259 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 106 | 98 | $1K |
| 90656 | <1% | 44 | 43 | $341.95 | |
| 69210 | <1% | 15 | 13 | $322.24 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 217 | 216 | $17.69 |
| 3074F | 0% | 31 | 29 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Caldwell Memorial Hospital, INC. | Lenoir, NC | $28.83M |
| UNC Rockingham Health Care, INC. | Eden, NC | $10.35M |
| Caldwell Memorial Hospital, INC | Granite Falls, NC | $7.30M |
| Caldwell Memorial Hospital, INC | Lenoir, NC | $5.30M |
| Caldwell Memorial Hospital, INC. | Lenoir, NC | $1.44M |
| Caldwell Memorial Hospital, INC. | Hudson, NC | $1.34M |
| Caldwell Memorial Hospital, INC | Lenoir, NC | $861K |
| Caldwell Memorial Hospital, INC. | Lenoir, NC | $547K |
| Caldwell Memorial Hospital, INC. | Lenoir, NC | $393K |
| Caldwell Memorial Hospital, INC | Lenoir, NC | $323K |
| Caldwell Memorial Hospital, INC | Lenoir, NC | $289K |
| Highland Health Providers Corp | Lynchburg, OH | $251K |
| Caldwell Memorial Hospital, INC | Lenoir, NC | $229K |
| Caldwell Memorial Hospital INC | Lenoir, NC | $224K |
| Caldwell Memorial Hospital, INC. | Blowing Rock, NC | $202K |
| Caldwell Memorial Hospital, INC. | Lenoir, NC | $177K |
| Caldwell Memorial Hosptial, INC | Lenoir, NC | $168K |
| Caldwell Memorial Hospital, INC. | Hudson, NC | $108K |
| Caldwell Memorial Hospital, INC. | Lenoir, NC | $82K |
| Caldwell Memorial Hospital, INC. | Lenoir, NC | $64K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.