Medicaid Provider Spending

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

CATAWBA VALLEY MEDICAL GROUP, INC

NPI: 1386093482 · CONOVER, NC 28613 · Family Medicine Physician · NPI assigned 06/09/2016

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

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

$599K
Total Medicaid Paid
31,372
Total Claims
19,350
Beneficiaries
15
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialGALLAGHER, PAMELA (VP OF FINANCE/CFO)
Parent OrganizationCATAWBA VALLEY MEDICAL CENTER
NPI Enumeration Date06/09/2016

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, INC NEWTON NC $892K
CATAWBA VALLEY MEDICAL GROUP, ING HICKORY NC $821K
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 2,590 $107K
2019 2,434 $116K
2020 1,318 $56K
2021 6,150 $140K
2022 13,289 $148K
2023 5,591 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,467 2,909 $220K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,804 3,241 $207K
99199 Unlisted special service, procedure or report 20,859 10,316 $130K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,297 1,164 $16K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 588 550 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 309 267 $7K
90472 Immunization administration, each additional vaccine (list separately) 144 131 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 59 47 $2K
90686 143 133 $658.46
81003 374 305 $529.75
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 12 $213.11
92551 133 119 $153.14
96110 Developmental screening, with scoring and documentation, per standardized instrument 16 12 $110.37
96127 34 25 $104.52
99173 131 119 $102.81