Physician
Catawba Valley Medical Group, INC
Catawba Valley Medical Group, INC was paid $193K by Medicaid between Jan 2018 and Oct 2023, across 10 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 44% of everything it billed.
33Billing provider infoCATAWBA VALLEY MEDICAL GROUP, INC
CATAWBA, NC 28609
CATAWBA, NC 28609
33aNPI1790062362assigned 11/10/2011
33bProvider typeFamily Medicine Physician
28Total paid$193K
24GClaims15,781
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#429 of 960
Median peer was paid$135K
This provider vs. median1.4×
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 | 1,482 | $45K | |
| 2019 | 1,377 | $46K | |
| 2020 | 452 | $16K | |
| 2021 | 2,981 | $30K | |
| 2022 | 5,198 | $31K | |
| 2023 | 4,291 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 44% | 12,470 | 6,035 | $86K |
| 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 | 39% | 1,256 | 1,062 | $74K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 577 | 500 | $28K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 138 | 121 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 560 | 498 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 31 | 26 | $618.06 |
| 90686 | <1% | 77 | 73 | $608.41 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 26 | 25 | $347.20 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | 12 | $183.69 |
| 99000 | 0% | 633 | 545 | $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 officialBOONE, DAVID (SR VP OF FINANCE/CFO)
Parent organizationCATAWBA VALLEY MEDICAL CENTER
| Provider | Location | Paid |
|---|---|---|
| Catawba Valley Medical Group,inc | Hickory, NC | $260K |
| Catawba Valley Medical Group,inc | Hickory, NC | $38K |
| David L. Boone, DDS, INC. | Clinton, OK | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.