Physician
Caldwell Memorial Hospital, INC.
Caldwell Memorial Hospital, INC. was paid $547K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoCALDWELL MEMORIAL HOSPITAL, INC.
LENOIR, NC 28645
LENOIR, NC 28645
33aNPI1215977194assigned 06/07/2006
33bProvider typeAdolescent Medicine (Internal Medicine) Physician
28Total paid$547K
24GClaims48,477
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SHADOWENS, KAREN 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 | 1,250 | $36K | |
| 2019 | 1,195 | $40K | |
| 2020 | 867 | $26K | |
| 2021 | 5,688 | $83K | |
| 2022 | 14,275 | $123K | |
| 2023 | 13,000 | $123K | |
| 2024incomplete | 12,202 | $116K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 39% | 4,807 | 4,225 | $215K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 5,104 | 4,130 | $172K |
| 99199 | Unlisted special service, procedure or report | 27% | 36,985 | 32,098 | $147K |
| 99406 | 1.4% | 913 | 795 | $8K | |
| 90686 | <1% | 450 | 392 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 120 | 100 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 14 | 12 | $502.27 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 26 | 25 | $363.88 |
| 90656 | <1% | 30 | 30 | $265.67 | |
| 3078F | 0% | 15 | 14 | $0.00 | |
| 3044F | 0% | 13 | 12 | $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 officialSHADOWENS, KAREN (CFO)
Parent organizationCALDWELL MEMORIAL HOSPITAL, INC.
| Provider | Location | 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 | $393K |
| Caldwell Memorial Hospital, INC | Lenoir, NC | $323K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.