Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › SC › Lake Wylie › NPI 1609467760
Physician

Caromont Medical Group, INC.

Caromont Medical Group, INC. was paid $119K by Medicaid between Aug 2022 and Oct 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoCAROMONT MEDICAL GROUP, INC.
LAKE WYLIE, SC 29710
33aNPI1609467760assigned 02/01/2021
28Total paid$119K
24GClaims2,629
24DCodes billed8
24AFirst – last monthAug 2022 – Oct 2024
Compared with peers

Next to other Family Medicine Physician providers in South Carolina

Rank by total paid#186 of 696
Median peer was paid$14K
This provider vs. median8.2×

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$5.0K$10K2018201920202021202220232024
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
2022366$19K
20231,325$57K
2024incomplete938$43K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 52% 1,115 998 $61K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 23% 335 333 $27K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13% 353 335 $16K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4.6% 447 432 $5K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3.4% 69 62 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2.6% 250 122 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1.4% 46 46 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 14 13 $735.93

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$1.37M
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

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