Medicaid Provider Spending

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

CALDWELL MEMORIAL HOSPITAL, INC

NPI: 1174882344 · LENOIR, NC 28645 · Family Medicine Physician · NPI assigned 05/09/2012

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

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

$323K
Total Medicaid Paid
25,097
Total Claims
23,376
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHADOWENS, KAREN (CFO)
Parent OrganizationCALDWELL MEMORIAL HOSPITAL, INC
NPI Enumeration Date05/09/2012

Related Entities

Other providers sharing the same authorized official: SHADOWENS, KAREN

ProviderCityStateTotal 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 $1.65M
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 $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 1,867 $49K
2019 1,317 $41K
2020 780 $23K
2021 6,350 $69K
2022 4,442 $44K
2023 5,243 $45K
2024 5,098 $53K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,921 4,562 $175K
99199 Unlisted special service, procedure or report 17,380 17,228 $70K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 562 474 $31K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 283 271 $11K
76801 259 235 $10K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 112 89 $7K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 193 175 $5K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 32 28 $4K
99215 Prolong outpt/office vis 41 40 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 46 39 $3K
90686 92 86 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 92 86 $1K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 30 26 $1K
76819 Fetal biophysical profile; without non-stress testing 25 13 $788.81
58300 17 12 $482.68
76830 Ultrasound, transvaginal 12 12 $58.99