Caldwell Memorial Hospital INC
Caldwell Memorial Hospital INC was paid $224K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 51% of everything it billed.
LENOIR, NC 28645
Next to other Internal Medicine Physician providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,275 | $43K | |
| 2019 | 1,009 | $41K | |
| 2020 | 450 | $19K | |
| 2021 | 448 | $15K | |
| 2022 | 552 | $29K | |
| 2023 | 769 | $30K | |
| 2024incomplete | 1,063 | $48K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 51% | 3,200 | 1,435 | $114K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 32% | 1,432 | 639 | $71K |
| 99223 | Prolong inpt eval add15 m | 5.6% | 139 | 131 | $13K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 3.6% | 332 | 157 | $8K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.2% | 139 | 130 | $7K |
| 99254 | 2.6% | 54 | 48 | $6K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.9% | 77 | 63 | $4K |
| 99199 | Unlisted special service, procedure or report | <1% | 179 | 179 | $945.00 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | 12 | $558.66 |
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.
Who's on the registration
| 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. | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.