Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CALDWELL MEMORIAL HOSPTIAL, INC

NPI: 1700184470 · LENOIR, NC 28645 · Audiologist · NPI assigned 03/04/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SHADOWENS, KAREN controls 20+ related entities in our dataset. Read more

$168K
Total Medicaid Paid
5,304
Total Claims
4,487
Beneficiaries
12
Codes Billed
2018-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHADOWENS, KAREN (CFO)
Parent OrganizationCALDWELL MEMORIAL HOSPTIAL, INC
NPI Enumeration Date03/04/2011

Related Entities

Other providers sharing the same authorized official: SHADOWENS, KAREN

ProviderCityStateTotal 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 LENOIR NC $224K
CALDWELL MEMORIAL HOSPITAL, INC. BLOWING ROCK NC $202K
CALDWELL MEMORIAL HOSPITAL, INC. LENOIR NC $177K
CALDWELL MEMORIAL HOSPITAL, INC. HUDSON NC $108K
CALDWELL MEMORIAL HOSPITAL, INC. LENOIR NC $82K
CALDWELL MEMORIAL HOSPITAL, INC. LENOIR NC $64K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 70 $2K
2019 772 $24K
2020 445 $18K
2021 696 $28K
2022 1,114 $40K
2023 1,022 $32K
2024 1,185 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,756 1,486 $80K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,077 1,672 $65K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 363 302 $16K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 17 16 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 25 25 $2K
99199 Unlisted special service, procedure or report 636 636 $2K
31575 19 18 $617.61
92504 20 12 $70.24
92552 163 130 $32.72
92567 107 106 $25.92
92587 109 72 $0.00
92579 12 12 $0.00