Medicaid Provider Spending

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

CALDWELL MEMORIAL HOSPITAL, INC.

NPI: 1871830679 · LENOIR, NC 28645 · Internal Medicine Physician · NPI assigned 01/14/2013

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

Authorized official SHADOWENS, KAREN controls 20+ related entities in our dataset. Read more

$39K
Total Medicaid Paid
9,210
Total Claims
9,187
Beneficiaries
4
Codes Billed
2021-07
First Month
2024-08
Last Month

Provider Details

Authorized OfficialSHADOWENS, KAREN (CFO)
Parent OrganizationCALDWELL MEMORIAL HOSPITAL, INC.
NPI Enumeration Date01/14/2013

Related Entities

Other providers sharing the same authorized official: SHADOWENS, KAREN

ProviderCityStateTotal Paid
CALDWELL MEMORIAL HOSPITAL, INC. LENOIR NC $28.83M
UNC ROCKINGHAM HEALTH CARE, INC. EDEN NC $10.35M
CALDWELL MEMORIAL HOSPITAL, INC GRANITE FALLS NC $7.30M
CALDWELL MEMORIAL HOSPITAL, INC LENOIR NC $5.30M
CALDWELL MEMORIAL HOSPITAL, INC LENOIR NC $1.65M
CALDWELL MEMORIAL HOSPITAL, INC. LENOIR NC $1.44M
CALDWELL MEMORIAL HOSPITAL, INC. HUDSON NC $1.34M
CALDWELL MEMORIAL HOSPITAL, INC LENOIR NC $861K
CALDWELL MEMORIAL HOSPITAL, INC. LENOIR NC $547K
CALDWELL MEMORIAL HOSPITAL, INC. LENOIR NC $393K
CALDWELL MEMORIAL HOSPITAL, INC LENOIR NC $323K
CALDWELL MEMORIAL HOSPITAL, INC LENOIR NC $289K
HIGHLAND HEALTH PROVIDERS CORP LYNCHBURG OH $251K
CALDWELL MEMORIAL HOSPITAL, INC LENOIR NC $229K
CALDWELL MEMORIAL HOSPITAL INC LENOIR NC $224K
CALDWELL MEMORIAL HOSPITAL, INC. BLOWING ROCK NC $202K
CALDWELL MEMORIAL HOSPITAL, INC. LENOIR NC $177K
CALDWELL MEMORIAL HOSPTIAL, INC LENOIR NC $168K
CALDWELL MEMORIAL HOSPITAL, INC. HUDSON NC $108K
CALDWELL MEMORIAL HOSPITAL, INC. LENOIR NC $82K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 2,632 $15K
2022 4,182 $12K
2023 2,267 $7K
2024 129 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 9,066 9,055 $33K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 72 67 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 41 39 $2K
99243 31 26 $1K