Physician
Caldwell Memorial Hospital, INC
Caldwell Memorial Hospital, INC was paid $43K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 36902, — 75% of everything it billed.
33Billing provider infoCALDWELL MEMORIAL HOSPITAL, INC
LENOIR, NC 28645
LENOIR, NC 28645
33aNPI1346658531assigned 07/31/2014
33bProvider typeSurgery Physician
28Total paid$43K
24GClaims3,635
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Surgery Physician providers in North Carolina
Rank by total paid#25 of 108
Median peer was paid$6K
This provider vs. median7.0×
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 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 | 601 | $7K | |
| 2019 | 563 | $6K | |
| 2020 | 602 | $6K | |
| 2021 | 406 | $7K | |
| 2022 | 620 | $5K | |
| 2023 | 436 | $5K | |
| 2024incomplete | 407 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 36902 | 75% | 1,098 | 982 | $33K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 889 | 824 | $6K |
| 99152 | 6.6% | 1,302 | 1,134 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.8% | 302 | 260 | $2K |
| 76937 | <1% | 16 | 13 | $82.77 | |
| 3078F | 0% | 28 | 26 | $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 | $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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.