Medicaid Provider Spending

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

CATAWBA VALLEY MEDICAL GROUP, INC

NPI: 1215214879 · HICKORY, NC 28601 · Family Medicine Physician · NPI assigned 11/10/2011

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

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

$477K
Total Medicaid Paid
46,102
Total Claims
25,809
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGALLAGHER, PAMELA (VP OF FINANCE)
Parent OrganizationCATAWBA VALLEY MEDICAL CENTER
NPI Enumeration Date11/10/2011

Related Entities

Other providers sharing the same authorized official: GALLAGHER, PAMELA

ProviderCityStateTotal Paid
CATAWBA VALLEY MEDICAL CENTER HICKORY NC $17.37M
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 $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 1,346 $33K
2019 1,262 $49K
2020 723 $29K
2021 5,413 $57K
2022 11,002 $86K
2023 11,461 $90K
2024 14,895 $133K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 38,180 18,790 $262K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,999 2,605 $164K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 893 792 $44K
36415 Collection of venous blood by venipuncture 1,972 1,776 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 29 27 $2K
99215 Prolong outpt/office vis 12 12 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 17 12 $310.86
96127 78 69 $253.09
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 18 13 $201.50
90686 24 18 $159.66
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 18 13 $50.64
99000 1,862 1,682 $19.37