Physician
Caldwell Memorial Hospital, INC.
Caldwell Memorial Hospital, INC. was paid $671K by Medicaid between Oct 2021 and Dec 2024, across 9 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 60% of everything it billed.
33Billing provider infoCALDWELL MEMORIAL HOSPITAL, INC.
LENOIR, NC 28645
LENOIR, NC 28645
33aNPI1831764836assigned 05/21/2021
33bProvider typePsychiatry Physician
28Total paid$671K
24GClaims9,698
24DCodes billed9
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Psychiatry Physician providers in North Carolina
Rank by total paid#42 of 165
Median peer was paid$187K
This provider vs. median3.6×
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 | |
|---|---|---|---|
| 2021 | 112 | $8K | |
| 2022 | 1,645 | $97K | |
| 2023 | 2,815 | $175K | |
| 2024incomplete | 5,126 | $390K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 60% | 5,091 | 3,006 | $400K |
| 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 | 26% | 2,688 | 2,138 | $174K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.2% | 853 | 521 | $42K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 3.1% | 198 | 150 | $21K |
| 99205 | Prolong outpt/office vis | 2.6% | 133 | 122 | $17K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.5% | 114 | 89 | $10K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 135 | 78 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 25 | 19 | $1K |
| 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) | <1% | 461 | 431 | $601.88 |
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 officialSMITH, REBECCA (VP/COO/CNO)
| Provider | Location | Paid |
|---|---|---|
| Waves Behavioral Health | Albuquerque, NM | $516K |
| Counseling Center of Montgomery County | Conroe, TX | $10K |
| Smith Family Chiropractic P.C. | Elk City, OK | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.