Medicaid Provider Spending

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

CATAWBA VALLEY MEDICAL CENTER

NPI: 1164495255 · HICKORY, NC 28602 · General Acute Care Hospital · NPI assigned 02/09/2006

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

Authorized official GALLAGHER, PAMELA controls 20+ related entities in our dataset. Read more

$17.37M
Total Medicaid Paid
370,442
Total Claims
278,024
Beneficiaries
116
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGALLAGHER, PAMELA (VP OF FINANCE)
NPI Enumeration Date02/09/2006

Related Entities

Other providers sharing the same authorized official: GALLAGHER, PAMELA

ProviderCityStateTotal Paid
CATAWBA VALLEY MEDICAL CENTER HICKORY NC $998K
CATAWBA VALLEY MEDICAL GROUP, INC NEWTON NC $892K
CATAWBA VALLEY MEDICAL GROUP, ING HICKORY NC $821K
CATAWBA VALLEY MEDICAL GROUP, INC CONOVER NC $599K
CATAWBA VALLEY MEDICAL GROUP, INC SHERRILLS FORD NC $555K
CATAWBA VALLEY MEDICAL GROUP INC HICKORY NC $509K
CATAWBA VALLEY MEDICAL GROUP, INC HICKORY NC $481K
CATAWBA VALLEY MEDICAL GROUP, INC HICKORY NC $477K
CATAWBA VALLEY MEDICAL GROUP, INC HICKORY NC $423K
CATAWBA VALLEY MEDICAL GROUP INC TAYLORSVILLE NC $329K
CATAWBA VALLEY MEDICAL GROUP INC HICKORY NC $277K
CATAWBA VALLEY MEDICAL CENTER HICKORY NC $247K
CATAWBA VALLEY MEDICAL GROUP, INC CONOVER NC $218K
CATAWBA VALLEY MEDICAL GROUP, INC TAYLORSVILLE NC $196K
CATAWBA VALLEY MEDICAL CENTER HICKORY NC $179K
CATAWBA VALLEY MEDICAL CENTER HICKORY NC $177K
CATAWBA VALLEY MEDICAL GROUP, INC HICKORY NC $173K
CATAWBA VALLEY MEDICAL GROUP, INC MAIDEN NC $166K
CATAWBA VALLEY MEDICAL GROUP, INC HICKORY NC $138K
CATAWBA VALLEY MEDICAL CENTER HICKORY NC $130K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 57,205 $1.85M
2019 55,072 $1.83M
2020 33,288 $1.16M
2021 53,256 $2.46M
2022 58,652 $3.66M
2023 57,752 $3.26M
2024 55,217 $3.14M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 20,211 17,902 $5.24M
99283 Emergency department visit for the evaluation and management, moderate severity 34,560 31,557 $5.14M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,182 3,798 $1.17M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 5,066 2,306 $712K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 4,201 3,728 $631K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,058 4,683 $447K
71046 Radiologic examination, chest; 2 views 7,872 7,385 $324K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,224 2,681 $321K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 39,872 35,118 $319K
J3490 Unclassified drugs 96,322 39,257 $319K
80053 Comprehensive metabolic panel 28,656 25,564 $267K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,948 6,180 $267K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,310 5,550 $207K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,160 1,048 $204K
41899 Unlisted procedure, dentoalveolar structures 155 126 $174K
74177 Computed tomography, abdomen and pelvis; with contrast material 323 302 $171K
96375 Therapeutic injection; each additional sequential IV push 2,214 1,738 $120K
36415 Collection of venous blood by venipuncture 34,049 29,308 $81K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2,916 2,613 $78K
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 1,325 1,105 $74K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,378 2,217 $64K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,379 2,218 $64K
76819 Fetal biophysical profile; without non-stress testing 934 588 $61K
70450 Computed tomography, head or brain; without contrast material 289 273 $50K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,317 1,214 $50K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 805 784 $48K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,546 1,417 $47K
86780 2,923 2,617 $46K
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 2,690 2,288 $44K
80061 Lipid panel 2,482 2,364 $44K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 826 697 $43K
81001 12,319 10,854 $39K
84443 Thyroid stimulating hormone (TSH) 1,886 1,720 $39K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 436 230 $29K
76820 276 122 $28K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 281 147 $28K
84484 2,648 2,294 $21K
86762 1,211 1,074 $19K
86787 1,328 1,177 $19K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 99 99 $18K
J7050 Infusion, normal saline solution, 250 cc 2,391 1,021 $16K
87086 Culture, bacterial; quantitative colony count, urine 1,821 1,602 $16K
87653 588 550 $16K
86850 1,354 1,197 $15K
J7120 Ringers lactate infusion, up to 1000 cc 525 433 $14K
83690 1,982 1,736 $14K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,683 1,327 $12K
87522 Neg quan hep c or qual rna 367 300 $12K
87536 180 163 $12K
87340 1,122 997 $11K
Q3014 Telehealth originating site facility fee 1,188 790 $10K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 42 41 $10K
87071 815 778 $10K
J7030 Infusion, normal saline solution , 1000 cc 390 344 $8K
83021 444 406 $8K
71045 Radiologic examination, chest; single view 231 210 $8K
74176 Computed tomography, abdomen and pelvis; without contrast material 12 12 $7K
80320 325 304 $7K
86803 365 300 $7K
83036 Hemoglobin; glycosylated (A1C) 553 505 $7K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 136 129 $6K
87150 192 183 $6K
82950 1,064 989 $5K
11045 76 36 $5K
80048 Basic metabolic panel (calcium, ionized) 792 705 $5K
81025 533 457 $4K
77067 Screening mammography, bilateral, including computer-aided detection 125 111 $4K
96361 Intravenous infusion, hydration; each additional hour 70 64 $4K
87430 227 210 $3K
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 180 152 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 64 58 $3K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 696 259 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 51 51 $2K
82607 81 74 $2K
87486 45 44 $2K
86900 1,252 1,115 $2K
93798 89 12 $2K
87581 45 44 $2K
86901 1,252 1,115 $2K
84480 81 74 $2K
86361 38 37 $2K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 45 44 $1K
73630 22 15 $1K
85660 227 208 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 879 718 $1K
84439 76 69 $1K
88142 30 27 $889.39
83020 48 42 $863.53
J1885 Injection, ketorolac tromethamine, per 15 mg 321 283 $789.81
94375 12 12 $672.36
82728 34 32 $624.23
94727 12 12 $592.74
84702 55 36 $547.56
83655 44 40 $542.88
83540 44 42 $424.01
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 40 39 $400.78
83550 28 28 $373.74
J1100 Injection, dexamethasone sodium phosphate, 1 mg 149 111 $356.41
96367 18 12 $354.36
94150 12 12 $331.61
82746 12 12 $287.33
J3010 Injection, fentanyl citrate, 0.1 mg 81 65 $214.09
85610 65 60 $202.90
80050 General health panel 13 13 $141.96
J2003 Injection, lidocaine hydrochloride, 1 mg 43 22 $132.37
81002 722 595 $119.04
87186 13 12 $118.47
84436 17 16 $113.02
87077 13 12 $110.66
J2250 Injection, midazolam hydrochloride, per 1 mg 13 12 $104.95
84703 20 12 $101.11
A9270 Non-covered item or service 18 13 $19.55
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 47 24 $17.16
99464 23 13 $0.00
59025 Fetal non-stress test 68 51 $0.00
59899 34 32 $0.00