Physician
Caromont Medical Group INC
Caromont Medical Group INC was paid $171K by Medicaid between May 2019 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.
33Billing provider infoCAROMONT MEDICAL GROUP INC
GASTONIA, NC 28054
GASTONIA, NC 28054
33aNPI1144510207assigned 04/11/2011
33bProvider typeObstetrics & Gynecology Physician
28Total paid$171K
24GClaims5,497
24DCodes billed21
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in North Carolina
Rank by total paid#59 of 189
Median peer was paid$47K
This provider vs. median3.7×
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 | |
|---|---|---|---|
| 2019 | 213 | $4K | |
| 2020 | 521 | $10K | |
| 2021 | 750 | $26K | |
| 2022 | 1,362 | $46K | |
| 2023 | 1,480 | $38K | |
| 2024incomplete | 1,171 | $48K |
Box 24 · Service lines
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 | 77% | 2,678 | 2,087 | $131K |
| 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 | 3.9% | 87 | 77 | $7K |
| 81025 | 3.8% | 1,085 | 803 | $6K | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 3.0% | 41 | 26 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.7% | 151 | 115 | $5K |
| 76830 | Ultrasound, transvaginal | 1.8% | 50 | 39 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.7% | 26 | 20 | $3K |
| 87660 | 1.5% | 117 | 110 | $3K | |
| 87480 | 1.5% | 117 | 110 | $3K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1.4% | 32 | 27 | $2K |
| 59025 | Fetal non-stress test | <1% | 41 | 26 | $1K |
| 85027 | <1% | 177 | 165 | $1K |
9 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 32 | $380.28 |
| 82120 | <1% | 15 | $37.12 | |
| 83986 | <1% | 15 | $35.28 | |
| 87210 | <1% | 13 | $32.94 | |
| 3078F | 0% | 284 | $0.00 | |
| 87510 | 0% | 118 | $0.00 | |
| 3074F | 0% | 387 | $0.00 | |
| 3079F | 0% | 16 | $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 | Mcadenville, NC | $629K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.