Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CALDWELL MEMORIAL HOSPITAL, INC.

NPI: 1114974029 · LENOIR, NC 28645 · General Acute Care Hospital · NPI assigned 05/27/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SHADOWENS, KAREN controls 20+ related entities in our dataset. Read more

$28.83M
Total Medicaid Paid
819,062
Total Claims
720,744
Beneficiaries
189
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHADOWENS, KAREN (CFO)
NPI Enumeration Date05/27/2006

Related Entities

Other providers sharing the same authorized official: SHADOWENS, KAREN

ProviderCityStateTotal Paid
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 $1.65M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 112,426 $2.59M
2019 119,471 $2.79M
2020 83,015 $1.80M
2021 115,351 $4.15M
2022 129,686 $5.70M
2023 133,259 $6.06M
2024 125,854 $5.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 287,764 261,650 $7.57M
99283 Emergency department visit for the evaluation and management, moderate severity 27,872 26,210 $5.36M
99284 Emergency department visit for the evaluation and management, high severity 16,938 15,520 $3.52M
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 39,936 37,729 $2.61M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 12,814 12,183 $1.13M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,853 4,287 $1.07M
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 22,716 21,689 $931K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 42,066 40,731 $653K
74177 Computed tomography, abdomen and pelvis; with contrast material 870 806 $628K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 25,717 17,703 $524K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,648 3,447 $431K
70450 Computed tomography, head or brain; without contrast material 1,143 1,044 $306K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,690 4,235 $249K
36902 1,057 1,003 $245K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,744 2,421 $219K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,316 1,234 $210K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,504 3,886 $210K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 29,446 26,527 $207K
87081 27,324 26,430 $205K
J3490 Unclassified drugs 48,167 22,576 $191K
92552 6,053 5,806 $185K
80053 Comprehensive metabolic panel 21,710 19,535 $166K
96127 19,987 19,299 $152K
96375 Therapeutic injection; each additional sequential IV push 2,237 1,967 $150K
96361 Intravenous infusion, hydration; each additional hour 3,049 2,689 $108K
71046 Radiologic examination, chest; 2 views 2,268 2,119 $83K
88305 Level IV - Surgical pathology, gross and microscopic examination 614 551 $77K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,312 1,174 $74K
36415 Collection of venous blood by venipuncture 34,738 30,900 $67K
90837 Psychotherapy, 53 minutes with patient 1,578 1,015 $60K
81001 16,343 14,878 $52K
87634 412 405 $46K
87807 2,498 2,422 $45K
71045 Radiologic examination, chest; single view 1,989 1,730 $38K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 446 438 $38K
73630 2,312 1,948 $35K
96161 5,257 4,989 $35K
80048 Basic metabolic panel (calcium, ionized) 4,525 4,111 $34K
84484 4,616 3,577 $33K
99152 1,437 1,337 $31K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,712 3,386 $31K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 1,245 1,147 $30K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 369 343 $29K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 954 919 $27K
84443 Thyroid stimulating hormone (TSH) 1,741 1,640 $27K
80076 2,504 2,161 $26K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 2,952 2,672 $26K
87086 Culture, bacterial; quantitative colony count, urine 3,125 2,923 $25K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 525 457 $25K
81025 2,836 2,629 $23K
J7030 Infusion, normal saline solution , 1000 cc 1,817 1,590 $23K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 450 311 $23K
0002A 418 372 $22K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 462 147 $21K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 307 287 $20K
83690 3,130 2,816 $20K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 675 571 $19K
83550 1,580 1,488 $19K
0001A 385 328 $18K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 16 16 $17K
74176 Computed tomography, abdomen and pelvis; without contrast material 44 39 $16K
82728 817 775 $16K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 227 207 $16K
83036 Hemoglobin; glycosylated (A1C) 1,673 1,598 $16K
80061 Lipid panel 1,051 996 $15K
83540 1,584 1,491 $14K
J7120 Ringers lactate infusion, up to 1000 cc 872 775 $12K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 14 13 $11K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 14 14 $10K
97010 281 92 $9K
83735 1,495 1,361 $9K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 49 49 $9K
J7050 Infusion, normal saline solution, 250 cc 2,144 1,511 $9K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 28 27 $8K
95810 Polysomnography; sleep staging with 4 or more additional parameters 26 26 $8K
82607 452 439 $8K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 48 45 $8K
C1769 Guide wire 1,434 1,300 $8K
92567 1,039 963 $8K
83655 420 393 $7K
J1644 Injection, heparin sodium, per 1000 units 3,694 2,434 $7K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,399 1,277 $6K
J0690 Injection, cefazolin sodium, 500 mg 2,342 2,029 $6K
J2704 Injection, propofol, 10 mg 1,446 1,144 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 299 265 $6K
11750 40 38 $6K
J3010 Injection, fentanyl citrate, 0.1 mg 3,192 2,661 $6K
81003 2,204 2,045 $5K
93017 138 133 $5K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,495 1,366 $5K
99243 201 191 $5K
76801 146 112 $5K
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,620 1,440 $5K
99406 776 726 $4K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 106 104 $4K
83880 178 159 $4K
76830 Ultrasound, transvaginal 56 54 $4K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 42 41 $4K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 103 40 $3K
J2250 Injection, midazolam hydrochloride, per 1 mg 2,775 2,481 $3K
85018 1,394 1,346 $3K
0031A 74 73 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 150 146 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 816 608 $3K
11730 62 52 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 75 75 $3K
84439 266 254 $3K
86300 106 86 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 80 55 $3K
93923 29 15 $3K
73130 38 38 $2K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 48 48 $2K
72110 66 66 $2K
73030 42 38 $2K
C1887 Catheter, guiding (may include infusion/perfusion capability) 504 441 $1K
0072A 26 25 $1K
J1040 Injection, methylprednisolone acetate, 80 mg 264 241 $1K
82378 47 39 $1K
85610 250 229 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 41 40 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 39 38 $1K
85027 163 160 $1K
51798 166 149 $993.68
C1760 Closure device, vascular (implantable/insertable) 13 12 $977.40
82962 1,470 1,105 $966.38
90834 Psychotherapy, 45 minutes with patient 37 25 $955.76
0004A 15 14 $927.87
0012A 15 15 $910.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 97 95 $905.74
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 36 36 $875.00
86671 35 27 $871.80
90791 Psychiatric diagnostic evaluation 32 25 $769.76
J8597 Antiemetic drug, oral, not otherwise specified 175 157 $664.09
0071A 17 13 $644.22
20610 28 25 $565.76
83615 63 55 $521.27
84132 729 614 $511.09
84480 25 25 $453.19
J2270 Injection, morphine sulfate, up to 10 mg 117 101 $443.57
87420 31 31 $442.68
0011A 22 22 $429.34
83605 40 38 $412.61
87040 16 14 $411.76
92579 43 38 $408.16
73610 16 14 $407.30
J2785 Injection, regadenoson, 0.1 mg 37 37 $390.81
94664 12 12 $377.88
94642 12 12 $377.88
87186 49 49 $373.74
85055 15 14 $365.66
92553 13 12 $358.92
87070 92 79 $346.60
31575 15 13 $342.72
84702 30 27 $283.95
85730 81 70 $282.08
86140 39 39 $278.62
88141 14 12 $278.26
87077 38 38 $258.50
58300 13 12 $257.92
90715 13 12 $241.62
81002 142 138 $233.95
0003A 22 14 $210.85
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 271 235 $199.43
86036 27 27 $185.05
0202U Oncology (prostate), multianalyte, gene expression profiling 17 15 $184.81
87205 94 81 $171.54
J0696 Injection, ceftriaxone sodium, per 250 mg 57 53 $168.46
J2003 Injection, lidocaine hydrochloride, 1 mg 88 70 $161.42
J2550 Injection, promethazine hcl, up to 50 mg 62 51 $160.43
J1170 Injection, hydromorphone, up to 4 mg 31 26 $158.26
76937 47 42 $153.08
90656 14 13 $135.57
A9270 Non-covered item or service 3,467 1,620 $113.54
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $94.89
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 30 24 $91.49
82550 80 66 $89.21
J1790 Injection, droperidol, up to 5 mg 12 12 $65.31
99153 Mod sedat endo service >5yrs 17 15 $64.71
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 14 14 $59.22
90686 30 30 $36.53
82948 14 13 $11.56
91300 1,188 966 $3.25
91307 75 65 $1.30
Q0244 Injection, casirivimab and imdevimab, 1200 mg 28 23 $0.90
36416 414 394 $0.00
91303 74 73 $0.00
91301 45 43 $0.00
G0008 Administration of influenza virus vaccine 18 18 $0.00
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 247 131 $0.00