Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Caromont Medical Group, INC.

Caromont Medical Group, INC. was paid $2.77M by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 34% of everything it billed.

33Billing provider infoCAROMONT MEDICAL GROUP, INC.
GASTONIA, NC 28054
33aNPI1912188939assigned 11/19/2007
33bProvider typeHospitalist Physician
28Total paid$2.77M
24GClaims73,433
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Hospitalist Physician providers in North Carolina

Rank by total paid#2 of 60
Median peer was paid$63K
This provider vs. median44×

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 OCONNOR, DAVID controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
201813,723$506K
201910,994$409K
202010,618$383K
20219,182$399K
20226,636$281K
20239,685$314K
2024incomplete12,595$480K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 34% 31,644 9,762 $942K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 31% 19,980 7,055 $866K
99223 Prolong inpt eval add15 m 16% 5,154 3,967 $434K
99239 Hospital discharge day management, more than 30 minutes 7.5% 4,466 3,650 $207K
99222 Initial hospital care, per day, moderate complexity 4.6% 2,047 1,603 $128K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.3% 4,568 3,204 $90K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1.4% 3,443 2,098 $40K
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 1.4% 1,457 1,208 $38K
99238 Hospital discharge day management, 30 minutes or less <1% 179 172 $10K
99254 <1% 37 28 $4K
99460 <1% 75 74 $4K
99220 <1% 46 40 $2K
7 more codes
99462 <1% 82 $2K
99219 <1% 47 $2K
99253 <1% 15 $1K
99204 Doctor's office visit, new patient (more involved) <1% 12 $508.05
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 48 $472.68
3074F 0% 16 $0.00
3078F 0% 117 $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 officialOCONNOR, DAVID (CFO)
Parent organizationCAROMONT MEDICAL GROUP INC
Same official

Other billing entities under OCONNOR, DAVID

Full network →
ProviderLocationPaid
Caromont Medical Group INCBelmont, NC$3.81M
Caromont Medical Group, INC.Gastonia, NC$2.41M
Caromont Medical Group, INC.Dallas, NC$1.79M
Caromont Medical Group, INC.Gastonia, NC$1.72M
Mass Surgical Supply, LLCHolyoke, MA$1.59M
Caromont Medical Group INCGastonia, NC$1.37M
Caromont Medical Group INCGastonia, NC$1.20M
Caromont Medical Group INCGastonia, NC$1.19M
Caromont Medical Group INCGastonia, NC$1.07M
Caromont Medical Group, INC.Belmont, NC$1.07M
Caromont Medical Group INCGastonia, NC$911K
Caromont Medical Group INCCherryville, NC$842K
Caromont Medical Group INCGastonia, NC$761K
Caromont Medical Group INCMcadenville, NC$629K
Caromont Medical Group INCShelby, NC$621K
Caromont Medical Group INCGastonia, NC$619K
Caromont Medical Group, INC.Belmont, NC$592K
Caromont Medical Group INCGastonia, NC$590K
Caromont Medical Group, INC.Dallas, NC$540K
Caromont Medical Group INCBelmont, NC$489K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.