Physician
Catawba Valley Medical Group, INC
Catawba Valley Medical Group, INC was paid $892K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 58% of everything it billed.
33Billing provider infoCATAWBA VALLEY MEDICAL GROUP, INC
NEWTON, NC 28658
NEWTON, NC 28658
33aNPI1245507516assigned 11/30/2011
33bProvider typeFamily Medicine Physician
28Total paid$892K
24GClaims93,564
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#152 of 960
Median peer was paid$135K
This provider vs. median6.6×
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 GALLAGHER, PAMELA 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 | 2,448 | $47K | |
| 2019 | 2,639 | $62K | |
| 2020 | 2,281 | $49K | |
| 2021 | 10,096 | $116K | |
| 2022 | 19,379 | $166K | |
| 2023 | 22,482 | $186K | |
| 2024incomplete | 34,239 | $265K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 58% | 77,786 | 39,509 | $519K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 3,181 | 2,707 | $176K |
| 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 | 13% | 1,873 | 1,655 | $120K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.5% | 1,292 | 1,164 | $22K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 272 | 240 | $9K |
| 87428 | <1% | 159 | 147 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 370 | 302 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 596 | 551 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 68 | 59 | $6K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 168 | 165 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,927 | 1,698 | $3K |
| 81003 | <1% | 1,230 | 1,107 | $2K |
10 more codes
| 90686 | <1% | 598 | $2K | |
| 92551 | <1% | 433 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $935.04 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 132 | $638.82 |
| 96127 | <1% | 166 | $572.17 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 40 | $331.11 |
| 90656 | <1% | 21 | $143.71 | |
| 99173 | <1% | 451 | $84.50 | |
| 99000 | <1% | 2,776 | $18.04 | |
| 90685 | 0% | 13 | $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 officialGALLAGHER, PAMELA (VP OF FINANCE/CFO)
Parent organizationCATAWBA VALLEY MEDICAL CENTER
| Provider | Location | Paid |
|---|---|---|
| Catawba Valley Medical Center | Hickory, NC | $17.37M |
| Catawba Valley Medical Center | Hickory, NC | $998K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.