Physician
Catawba Valley Medical Center
Catawba Valley Medical Center was paid $179K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 81000, — 28% of everything it billed.
33Billing provider infoCATAWBA VALLEY MEDICAL CENTER
HICKORY, NC 28602
HICKORY, NC 28602
33aNPI1285929554assigned 06/15/2011
33bProvider typeObstetrics Physician
28Total paid$179K
24GClaims34,086
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics Physician providers in North Carolina
Rank by total paid#7 of 8
Median peer was paid$602K
This provider vs. median0.3×
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 | 6,292 | $40K | |
| 2019 | 5,270 | $24K | |
| 2020 | 3,355 | $8K | |
| 2021 | 5,227 | $33K | |
| 2022 | 4,259 | $13K | |
| 2023 | 5,114 | $23K | |
| 2024incomplete | 4,569 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 81000 | 28% | 27,535 | 18,969 | $50K | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 16% | 895 | 704 | $29K |
| 99199 | Unlisted special service, procedure or report | 14% | 2,735 | 1,614 | $25K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 1,237 | 861 | $22K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 12% | 370 | 275 | $21K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 8.1% | 16 | 12 | $14K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.4% | 51 | 44 | $4K |
| 99201 | 2.3% | 274 | 228 | $4K | |
| 76819 | Fetal biophysical profile; without non-stress testing | 1.5% | 68 | 39 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 153 | 110 | $2K |
| 59025 | Fetal non-stress test | <1% | 71 | 38 | $1K |
| 96127 | <1% | 305 | 240 | $908.92 |
10 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 18 | $215.36 |
| 85018 | <1% | 95 | $190.23 | |
| 86787 | 0% | 28 | $0.00 | |
| 86850 | 0% | 26 | $0.00 | |
| 87340 | 0% | 26 | $0.00 | |
| 86762 | 0% | 26 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 32 | $0.00 |
| 86780 | 0% | 38 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 48 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 39 | $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)
| Provider | Location | 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 | $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 | $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.