Behavioral
Caromont Medical Group INC
Caromont Medical Group INC was paid $1.20M by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 34% of everything it billed.
33Billing provider infoCAROMONT MEDICAL GROUP INC
GASTONIA, NC 28054
GASTONIA, NC 28054
33aNPI1629197744assigned 03/28/2007
33bProvider typeMental Health Counselor
28Total paid$1.20M
24GClaims21,963
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Mental Health Counselor providers in North Carolina
Rank by total paid#72 of 321
Median peer was paid$192K
This provider vs. median6.2×
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
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 | 3,839 | $216K | |
| 2019 | 3,384 | $163K | |
| 2020 | 1,858 | $109K | |
| 2021 | 3,190 | $160K | |
| 2022 | 3,075 | $175K | |
| 2023 | 2,229 | $123K | |
| 2024incomplete | 4,388 | $249K |
Box 24 · Service lines
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 | 34% | 9,239 | 4,083 | $403K |
| 99222 | Initial hospital care, per day, moderate complexity | 15% | 2,112 | 1,809 | $181K |
| 99239 | Hospital discharge day management, more than 30 minutes | 11% | 1,648 | 1,435 | $129K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.4% | 1,875 | 1,594 | $88K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 7.1% | 1,068 | 516 | $85K |
| 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 | 5.2% | 1,015 | 797 | $62K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 4.3% | 1,852 | 880 | $51K |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.3% | 904 | 768 | $39K |
| 99223 | Prolong inpt eval add15 m | 2.7% | 207 | 191 | $33K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.7% | 386 | 267 | $33K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 1.6% | 271 | 171 | $19K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.5% | 295 | 183 | $18K |
12 more codes
| 99245 | 1.3% | 128 | $15K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 72 | $8K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 79 | $8K |
| 99285 | Emergency room visit (most serious) | <1% | 71 | $7K |
| 99442 | <1% | 172 | $5K | |
| 99254 | <1% | 38 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 132 | $2K |
| 99443 | <1% | 47 | $2K | |
| 99199 | Unlisted special service, procedure or report | <1% | 284 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 14 | $1K |
| 99284 | Emergency room visit (serious) | <1% | 18 | $611.40 |
| 99441 | <1% | 36 | $352.18 |
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
| Provider | Location | Paid |
|---|---|---|
| Caromont Medical Group INC | Belmont, 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, LLC | Holyoke, MA | $1.59M |
| Caromont Medical Group INC | Gastonia, NC | $1.37M |
| Caromont Medical Group INC | Gastonia, NC | $1.19M |
| Caromont Medical Group INC | Gastonia, NC | $1.07M |
| Caromont Medical Group, INC. | Belmont, NC | $1.07M |
| Caromont Medical Group INC | Gastonia, NC | $911K |
| Caromont Medical Group INC | Cherryville, NC | $842K |
| Caromont Medical Group INC | Gastonia, NC | $761K |
| Caromont Medical Group INC | Mcadenville, NC | $629K |
| Caromont Medical Group INC | Shelby, NC | $621K |
| Caromont Medical Group INC | Gastonia, NC | $619K |
| Caromont Medical Group, INC. | Belmont, NC | $592K |
| Caromont Medical Group INC | Gastonia, NC | $590K |
| Caromont Medical Group, INC. | Dallas, NC | $540K |
| Caromont Medical Group INC | Belmont, NC | $489K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.