Medicaid Provider Spending

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

CAROMONT MEDICAL GROUP, INC.

NPI: 1932380953 · GASTONIA, NC 28054 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 11/19/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code 99291 with only 1 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official OCONNOR, DAVID controls 20+ related entities in our dataset. Read more

$1.72M
Total Medicaid Paid
12,450
Total Claims
6,282
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialOCONNOR, DAVID (CFO)
Parent OrganizationCAROMONT MEDICAL GROUP INC
NPI Enumeration Date11/19/2007

Related Entities

Other providers sharing the same authorized official: OCONNOR, DAVID

ProviderCityStateTotal Paid
CAROMONT MEDICAL GROUP INC BELMONT NC $3.81M
CAROMONT MEDICAL GROUP, INC. GASTONIA NC $2.77M
CAROMONT MEDICAL GROUP, INC. GASTONIA NC $2.41M
CAROMONT MEDICAL GROUP, INC. DALLAS NC $1.79M
MASS SURGICAL SUPPLY, LLC HOLYOKE MA $1.59M
CAROMONT MEDICAL GROUP INC GASTONIA NC $1.37M
CAROMONT MEDICAL GROUP INC GASTONIA NC $1.20M
CAROMONT MEDICAL GROUP INC GASTONIA NC $1.19M
CAROMONT MEDICAL GROUP INC GASTONIA NC $1.07M
CAROMONT MEDICAL GROUP, INC. BELMONT NC $1.07M
CAROMONT MEDICAL GROUP INC GASTONIA NC $911K
CAROMONT MEDICAL GROUP INC CHERRYVILLE NC $842K
CAROMONT MEDICAL GROUP INC GASTONIA NC $761K
CAROMONT MEDICAL GROUP INC MCADENVILLE NC $629K
CAROMONT MEDICAL GROUP INC SHELBY NC $621K
CAROMONT MEDICAL GROUP INC GASTONIA NC $619K
CAROMONT MEDICAL GROUP, INC. BELMONT NC $592K
CAROMONT MEDICAL GROUP INC GASTONIA NC $590K
CAROMONT MEDICAL GROUP, INC. DALLAS NC $540K
CAROMONT MEDICAL GROUP INC BELMONT NC $489K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,938 $203K
2019 1,924 $271K
2020 1,720 $249K
2021 2,180 $327K
2022 1,869 $287K
2023 1,355 $179K
2024 1,464 $206K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 12,450 6,282 $1.72M