Medicaid Provider Spending

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

UNC ROCKINGHAM HEALTH CARE, INC.

NPI: 1326048810 · EDEN, NC 27288 · General Acute Care Hospital · NPI assigned 07/26/2005

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

Authorized official SHADOWENS, KAREN controls 20+ related entities in our dataset. Read more

$10.35M
Total Medicaid Paid
289,750
Total Claims
216,457
Beneficiaries
105
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHADOWENS, KAREN (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date07/26/2005

Related Entities

Other providers sharing the same authorized official: SHADOWENS, KAREN

ProviderCityStateTotal Paid
CALDWELL MEMORIAL HOSPITAL, INC. LENOIR NC $28.83M
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 $547K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 49,483 $1.10M
2019 53,152 $1.40M
2020 31,732 $885K
2021 29,749 $1.16M
2022 48,119 $2.00M
2023 42,527 $2.05M
2024 34,988 $1.76M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 34,077 30,545 $4.29M
99284 Emergency department visit for the evaluation and management, high severity 11,490 10,299 $2.26M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,688 2,302 $667K
96361 Intravenous infusion, hydration; each additional hour 5,528 4,342 $659K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2,326 2,110 $301K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,693 2,459 $296K
J3490 Unclassified drugs 56,834 22,081 $290K
71046 Radiologic examination, chest; 2 views 6,215 5,597 $127K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,418 1,968 $123K
80053 Comprehensive metabolic panel 18,738 15,780 $111K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 22,227 18,776 $109K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,261 5,409 $100K
70450 Computed tomography, head or brain; without contrast material 545 434 $75K
74177 Computed tomography, abdomen and pelvis; with contrast material 431 361 $75K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,148 918 $70K
96375 Therapeutic injection; each additional sequential IV push 4,866 4,009 $68K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,008 4,030 $59K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 7,812 4,146 $55K
71045 Radiologic examination, chest; single view 3,638 3,108 $53K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,205 4,272 $52K
J7030 Infusion, normal saline solution , 1000 cc 5,246 4,168 $47K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 929 878 $34K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,202 2,990 $30K
81001 12,787 11,027 $27K
36415 Collection of venous blood by venipuncture 15,417 12,399 $22K
0202U Oncology (prostate), multianalyte, gene expression profiling 833 729 $22K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 653 581 $22K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 804 712 $21K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 804 712 $21K
87086 Culture, bacterial; quantitative colony count, urine 3,730 3,217 $16K
74176 Computed tomography, abdomen and pelvis; without contrast material 90 81 $15K
81025 3,756 3,227 $14K
80048 Basic metabolic panel (calcium, ionized) 2,481 2,043 $13K
87081 2,619 2,435 $13K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 112 94 $12K
59025 Fetal non-stress test 302 257 $12K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 163 61 $12K
83690 3,781 3,189 $11K
84484 3,062 2,235 $10K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 192 159 $10K
84443 Thyroid stimulating hormone (TSH) 634 548 $9K
83735 2,360 1,979 $8K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 831 690 $6K
83880 523 436 $6K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,724 2,861 $5K
85027 891 725 $5K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,937 2,379 $5K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 316 303 $4K
87807 466 438 $4K
86787 217 198 $4K
86762 177 160 $3K
84702 879 747 $3K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 146 114 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,034 878 $3K
86850 277 249 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 32 26 $3K
81003 2,320 1,985 $3K
86592 547 500 $3K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 192 159 $3K
86701 212 193 $3K
86803 131 118 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 96 90 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg 807 627 $3K
87040 291 215 $2K
J7120 Ringers lactate infusion, up to 1000 cc 196 161 $2K
87340 169 154 $2K
99218 249 205 $2K
85610 1,231 1,012 $2K
J8597 Antiemetic drug, oral, not otherwise specified 557 471 $2K
87420 102 98 $1K
86901 448 383 $1K
86900 448 383 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 26 26 $946.17
82947 175 162 $866.05
83036 Hemoglobin; glycosylated (A1C) 66 65 $833.90
80061 Lipid panel 40 39 $754.35
87186 329 254 $679.70
87077 359 278 $637.74
J0780 Injection, prochlorperazine, up to 10 mg 93 84 $548.99
86703 40 38 $527.40
96376 61 26 $525.54
83605 275 214 $502.42
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 104 77 $397.16
J2270 Injection, morphine sulfate, up to 10 mg 733 525 $376.92
0225U 13 13 $258.93
84439 18 15 $240.31
82962 276 129 $221.14
J3010 Injection, fentanyl citrate, 0.1 mg 38 24 $134.49
J2704 Injection, propofol, 10 mg 29 25 $131.37
83550 12 12 $130.68
85730 55 50 $109.06
83540 12 12 $96.96
85379 31 29 $65.87
87210 68 44 $58.29
J7050 Infusion, normal saline solution, 250 cc 119 57 $51.41
J1100 Injection, dexamethasone sodium phosphate, 1 mg 100 88 $33.24
36592 24 18 $28.91
A9270 Non-covered item or service 1,900 371 $11.60
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 13 12 $1.61
J1200 Injection, diphenhydramine hcl, up to 50 mg 15 12 $1.61
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 46 33 $0.60
36591 14 13 $0.00
82805 13 12 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 87 62 $0.00
82948 15 13 $0.00