Medicaid Provider Spending

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

CATAWBA VALLEY MEDICAL GROUP, INC

NPI: 1245507516 · NEWTON, NC 28658 · Family Medicine Physician · NPI assigned 11/30/2011

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

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

$892K
Total Medicaid Paid
93,564
Total Claims
53,425
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGALLAGHER, PAMELA (VP OF FINANCE/CFO)
Parent OrganizationCATAWBA VALLEY MEDICAL CENTER
NPI Enumeration Date11/30/2011

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, 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 34,239 $265K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 77,786 39,509 $519K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,181 2,707 $176K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,873 1,655 $120K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,292 1,164 $22K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 272 240 $9K
87428 159 147 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 370 302 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 596 551 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 68 59 $6K
90472 Immunization administration, each additional vaccine (list separately) 168 165 $6K
36415 Collection of venous blood by venipuncture 1,927 1,698 $3K
81003 1,230 1,107 $2K
90686 598 523 $2K
92551 433 398 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12 12 $935.04
85025 Blood count; complete (CBC), automated, and automated differential WBC count 132 112 $638.82
96127 166 147 $572.17
96110 Developmental screening, with scoring and documentation, per standardized instrument 40 40 $331.11
90656 21 21 $143.71
99173 451 417 $84.50
99000 2,776 2,438 $18.04
90685 13 13 $0.00