Catawba Valley Medical Group, INC
Catawba Valley Medical Group, INC was paid $196K by Medicaid between Jan 2018 and Sep 2019, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
TAYLORSVILLE, NC 28681
Next to other Family Medicine Physician providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,501 | $120K | |
| 2019 | 2,595 | $75K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 49% | 1,997 | 1,737 | $96K |
| 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 | 45% | 1,627 | 1,427 | $87K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.3% | 333 | 320 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 167 | 146 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 105 | 100 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,056 | 939 | $2K |
| 90686 | <1% | 84 | 80 | $319.32 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | 12 | $284.36 |
| 81003 | <1% | 169 | 148 | $168.97 | |
| 96127 | <1% | 21 | 13 | $38.25 | |
| 99000 | <1% | 1,393 | 1,240 | $4.52 | |
| 92551 | <1% | 60 | 53 | $3.00 |
1 more codes
| 99173 | 0% | 72 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Catawba Valley Medical Center | Hickory, NC | $17.37M |
| Catawba Valley Medical Center | Hickory, NC | $998K |
| Catawba Valley Medical Group, INC | Newton, NC | $892K |
| Catawba Valley Medical Group, Ing | Hickory, NC | $821K |
| Catawba Valley Medical Group, INC | Conover, NC | $599K |
| Catawba Valley Medical Group, INC | Sherrills Ford, NC | $555K |
| Catawba Valley Medical Group INC | Hickory, NC | $509K |
| Catawba Valley Medical Group, INC | Hickory, NC | $481K |
| Catawba Valley Medical Group, INC | Hickory, NC | $477K |
| Catawba Valley Medical Group, INC | Hickory, NC | $423K |
| Catawba Valley Medical Group INC | Taylorsville, NC | $329K |
| Catawba Valley Medical Group INC | Hickory, NC | $277K |
| Catawba Valley Medical Center | Hickory, NC | $247K |
| Catawba Valley Medical Group, INC | Conover, NC | $218K |
| Catawba Valley Medical Center | Hickory, NC | $179K |
| Catawba Valley Medical Center | Hickory, NC | $177K |
| Catawba Valley Medical Group, INC | Hickory, NC | $173K |
| Catawba Valley Medical Group, INC | Maiden, NC | $166K |
| Catawba Valley Medical Group, INC | Hickory, NC | $138K |
| Catawba Valley Medical Center | Hickory, NC | $130K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.