Physician
Catawba Valley Medical Group, INC
Catawba Valley Medical Group, INC was paid $218K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 39% of everything it billed.
33Billing provider infoCATAWBA VALLEY MEDICAL GROUP, INC
CONOVER, NC 28613
CONOVER, NC 28613
33aNPI1750659488assigned 12/08/2011
33bProvider typeCardiovascular Disease Physician
28Total paid$218K
24GClaims20,097
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in North Carolina
Rank by total paid#30 of 109
Median peer was paid$58K
This provider vs. median3.7×
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 GALLAGHER, PAMELA 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 | 595 | $15K | |
| 2019 | 576 | $16K | |
| 2020 | 578 | $19K | |
| 2021 | 611 | $19K | |
| 2022 | 11,811 | $75K | |
| 2023 | 4,600 | $37K | |
| 2024incomplete | 1,326 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 39% | 15,151 | 7,562 | $85K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 34% | 2,726 | 2,411 | $73K |
| 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 | 16% | 1,076 | 898 | $35K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.1% | 405 | 318 | $18K |
| 93000 | 1.0% | 416 | 324 | $2K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 25 | 12 | $1K |
| 93296 | <1% | 160 | 109 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 12 | 12 | $1K |
| 93248 | <1% | 38 | 37 | $552.07 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 13 | 12 | $296.58 |
| 93016 | <1% | 21 | 15 | $170.98 | |
| 93294 | <1% | 19 | 12 | $154.47 |
2 more codes
| 93018 | <1% | 21 | $116.07 | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 14 | $24.14 |
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 officialGALLAGHER, PAMELA (VP OF FINANCE)
Parent organizationCATAWBA VALLEY MEDICAL CENTER
| Provider | Location | Paid |
|---|---|---|
| Catawba Valley Medical Center | Hickory, NC | $17.37M |
| Catawba Valley Medical Center | Hickory, NC | $998K |
| Catawba Valley Medical Group, INC | Newton, NC | $892K |
| Catawba Valley Medical Group, Ing | Hickory, NC | $821K |
| Catawba Valley Medical Group, INC | Conover, NC | $599K |
| Catawba Valley Medical Group, INC | Sherrills Ford, NC | $555K |
| Catawba Valley Medical Group INC | Hickory, NC | $509K |
| Catawba Valley Medical Group, INC | Hickory, NC | $481K |
| Catawba Valley Medical Group, INC | Hickory, NC | $477K |
| Catawba Valley Medical Group, INC | Hickory, NC | $423K |
| Catawba Valley Medical Group INC | Taylorsville, NC | $329K |
| Catawba Valley Medical Group INC | Hickory, NC | $277K |
| Catawba Valley Medical Center | Hickory, NC | $247K |
| Catawba Valley Medical Group, INC | Taylorsville, NC | $196K |
| Catawba Valley Medical Center | Hickory, NC | $179K |
| Catawba Valley Medical Center | Hickory, NC | $177K |
| Catawba Valley Medical Group, INC | Hickory, NC | $173K |
| Catawba Valley Medical Group, INC | Maiden, NC | $166K |
| Catawba Valley Medical Group, INC | Hickory, NC | $138K |
| Catawba Valley Medical Center | Hickory, NC | $130K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.