Catawba Valley Primary Care, PLLC

Catawba Valley Primary Care, PLLC was paid $44K by Medicaid between Jan 2018 and Jan 2022, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.

33Billing provider infoCATAWBA VALLEY PRIMARY CARE, PLLC
NEWTON, NC 28658

33aNPI1720161805assigned 10/23/2006

33bProvider typeFamily Medicine Physician

28Total paid$44K

24GClaims866

24DCodes billed4

24AFirst – last monthJan 2018 – Jan 2022

Compared with peers

Next to other Family Medicine Physician providers in North Carolina

Rank by total paid#628 of 960

Median peer was paid$135K

This provider vs. median0.3×

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.

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	456	$21K
2019	298	$19K
2020	52	$4K
2021	48	$240.00
2022	12	$60.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	75%	505	452	$33K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	24%	289	227	$11K
99199	Unlisted special service, procedure or report	<1%	60	60	$300.00
36415	Collection of venous blood by venipuncture	<1%	12	12	$27.00

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 officialOSTERER, RAYMOND (OWNER)