Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Gastonia › NPI 1437338050
Physician

Caromont Medical Group INC

Caromont Medical Group INC was paid $1.37M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 32% of everything it billed.

33Billing provider infoCAROMONT MEDICAL GROUP INC
GASTONIA, NC 28054
33aNPI1437338050assigned 10/31/2007
28Total paid$1.37M
24GClaims15,838
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in North Carolina

Rank by total paid#10 of 24
Median peer was paid$280K
This provider vs. median4.9×

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 OCONNOR, DAVID controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20183,784$339K
20193,603$324K
20202,582$241K
20211,296$95K
20221,184$90K
20231,538$130K
2024incomplete1,851$147K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 32% 5,549 4,315 $436K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 28% 2,623 2,387 $383K
76819 Fetal biophysical profile; without non-stress testing 19% 3,798 2,366 $256K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 6.3% 1,319 1,091 $87K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3.7% 812 663 $51K
76801 3.5% 486 472 $48K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3.4% 427 416 $46K
76825 2.7% 248 235 $37K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 218 190 $11K
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 <1% 75 72 $6K
99241 <1% 102 87 $4K
76813 <1% 16 16 $2K
2 more codes
99203 Doctor's office visit, new patient (routine) <1% 12 $1K
99199 Unlisted special service, procedure or report <1% 153 $775.00

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 officialOCONNOR, DAVID (CFO)
Parent organizationCAROMONT MEDICAL GROUP INC
Same official

Other billing entities under OCONNOR, DAVID

Full network →
ProviderLocationPaid
Caromont Medical Group INCBelmont, NC$3.81M
Caromont Medical Group, INC.Gastonia, NC$2.77M
Caromont Medical Group, INC.Gastonia, NC$2.41M
Caromont Medical Group, INC.Dallas, NC$1.79M
Caromont Medical Group, INC.Gastonia, NC$1.72M
Mass Surgical Supply, LLCHolyoke, MA$1.59M
Caromont Medical Group INCGastonia, NC$1.20M
Caromont Medical Group INCGastonia, NC$1.19M
Caromont Medical Group INCGastonia, NC$1.07M
Caromont Medical Group, INC.Belmont, NC$1.07M
Caromont Medical Group INCGastonia, NC$911K
Caromont Medical Group INCCherryville, NC$842K
Caromont Medical Group INCGastonia, NC$761K
Caromont Medical Group INCMcadenville, NC$629K
Caromont Medical Group INCShelby, NC$621K
Caromont Medical Group INCGastonia, NC$619K
Caromont Medical Group, INC.Belmont, NC$592K
Caromont Medical Group INCGastonia, NC$590K
Caromont Medical Group, INC.Dallas, NC$540K
Caromont Medical Group INCBelmont, NC$489K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.