Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Gastonia › NPI 1679074181
Physician

Caromont Medical Group, INC.

Caromont Medical Group, INC. was paid $313K by Medicaid between Nov 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.

33Billing provider infoCAROMONT MEDICAL GROUP, INC.
GASTONIA, NC 28054
33aNPI1679074181assigned 02/21/2018
28Total paid$313K
24GClaims9,412
24DCodes billed10
24AFirst – last monthNov 2018 – Nov 2024
Compared with peers

Next to other Hematology & Oncology Physician providers in North Carolina

Rank by total paid#7 of 46
Median peer was paid$36K
This provider vs. median8.8×

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$10K$15K2018201920202021202220232024
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
201844$2K
2019257$18K
2020393$29K
20213,386$71K
20222,174$67K
20231,919$66K
2024incomplete1,239$60K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 65% 3,631 2,918 $204K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 22% 834 628 $70K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5.6% 2,776 1,798 $18K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.4% 374 287 $11K
99199 Unlisted special service, procedure or report 2.7% 1,562 1,562 $9K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 31 13 $1K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 24 13 $843.12
80053 Comprehensive metabolic panel <1% 49 44 $446.03
3074F 0% 59 51 $0.00
3078F 0% 72 62 $0.00

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$1.37M
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.