Physician
Caromont Medical Group, INC.
Caromont Medical Group, INC. was paid $2.41M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoCAROMONT MEDICAL GROUP, INC.
GASTONIA, NC 28054
GASTONIA, NC 28054
33aNPI1194904706assigned 10/31/2007
33bProvider typePediatrics Physician
28Total paid$2.41M
24GClaims147,673
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#142 of 433
Median peer was paid$942K
This provider vs. median2.6×
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 | |
|---|---|---|---|
| 2018 | 6,317 | $234K | |
| 2019 | 7,741 | $320K | |
| 2020 | 4,317 | $178K | |
| 2021 | 15,951 | $356K | |
| 2022 | 36,222 | $480K | |
| 2023 | 36,657 | $429K | |
| 2024incomplete | 40,468 | $409K |
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 | 53% | 24,030 | 20,241 | $1.29M |
| 99199 | Unlisted special service, procedure or report | 25% | 103,303 | 64,131 | $600K |
| 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 | 6.9% | 2,045 | 1,845 | $167K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.4% | 3,283 | 2,757 | $129K |
| 99051 | 5.0% | 5,308 | 4,388 | $121K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 3,306 | 2,833 | $40K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,640 | 1,395 | $15K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 158 | 131 | $14K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 94 | 93 | $10K |
| 96127 | <1% | 2,303 | 1,790 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 420 | 216 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 46 | 39 | $4K |
16 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 114 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 18 | $2K |
| 0072A | <1% | 23 | $1K | |
| 90686 | <1% | 587 | $910.33 | |
| 0071A | <1% | 21 | $758.87 | |
| 90688 | <1% | 375 | $392.40 | |
| 92551 | <1% | 118 | $138.62 | |
| 90461 | <1% | 20 | $102.11 | |
| 99173 | <1% | 210 | $72.84 | |
| 90656 | <1% | 87 | $20.94 | |
| 81003 | <1% | 19 | $11.08 | |
| 3074F | 0% | 30 | $0.00 | |
| 90698 | 0% | 33 | $0.00 | |
| 90734 | 0% | 14 | $0.00 | |
| 90670 | 0% | 38 | $0.00 | |
| 3078F | 0% | 30 | $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. | 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 |
| Caromont Medical Group INC | Belmont, NC | $489K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.