Medicaid Provider Spending

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

CATAWBA VALLEY MEDICAL GROUP, INC

NPI: 1780094771 · HICKORY, NC 28601 · Pulmonary Disease Physician · NPI assigned 04/30/2014

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

Authorized official GALLAGHER, PAMELA controls 20+ related entities in our dataset. Read more

$138K
Total Medicaid Paid
4,513
Total Claims
3,465
Beneficiaries
14
Codes Billed
2018-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGALLAGHER, PAMELA (VP OF FINANCE)
Parent OrganizationCATAWBA VALLEY MEDICAL CENTER
NPI Enumeration Date04/30/2014

Related Entities

Other providers sharing the same authorized official: GALLAGHER, PAMELA

ProviderCityStateTotal 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 CONOVER NC $218K
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 CENTER HICKORY NC $130K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 63 $2K
2019 317 $13K
2020 402 $15K
2021 1,435 $31K
2022 457 $18K
2023 661 $26K
2024 1,178 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,323 1,781 $85K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 190 63 $24K
99199 Unlisted special service, procedure or report 1,287 1,077 $13K
99215 Prolong outpt/office vis 211 141 $7K
99233 Prolong inpt eval add15 m 96 40 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 85 77 $3K
95810 Polysomnography; sleep staging with 4 or more additional parameters 15 13 $1K
94375 87 79 $664.37
94727 43 39 $200.07
94750 28 24 $167.61
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 78 69 $82.32
94726 14 12 $56.48
94729 14 12 $29.44
94150 42 38 $23.57