Physician
Catawba Valley Medical Group, INC
Catawba Valley Medical Group, INC was paid $599K by Medicaid between Jan 2018 and Jun 2023, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoCATAWBA VALLEY MEDICAL GROUP, INC
CONOVER, NC 28613
CONOVER, NC 28613
33aNPI1386093482assigned 06/09/2016
33bProvider typeFamily Medicine Physician
28Total paid$599K
24GClaims31,372
24DCodes billed15
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#218 of 960
Median peer was paid$135K
This provider vs. median4.4×
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 | 2,590 | $107K | |
| 2019 | 2,434 | $116K | |
| 2020 | 1,318 | $56K | |
| 2021 | 6,150 | $140K | |
| 2022 | 13,289 | $148K | |
| 2023 | 5,591 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 37% | 3,467 | 2,909 | $220K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 3,804 | 3,241 | $207K |
| 99199 | Unlisted special service, procedure or report | 22% | 20,859 | 10,316 | $130K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.7% | 1,297 | 1,164 | $16K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.8% | 588 | 550 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 309 | 267 | $7K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 144 | 131 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 59 | 47 | $2K |
| 90686 | <1% | 143 | 133 | $658.46 | |
| 81003 | <1% | 374 | 305 | $529.75 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | 12 | $213.11 |
| 92551 | <1% | 133 | 119 | $153.14 |
3 more codes
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/CFO)
Parent organizationCATAWBA VALLEY MEDICAL CENTER
| 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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.