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NPI 1902895675 · Gastonia, NC · Ambulatory Surgical Clinic/Center
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Caromont Health Services, Inc. is a ambulatory surgical clinic/center provider located in Gastonia, North Carolina. This profile covers 2 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Caromont Health Services, Inc. |
| Address | 2511 Court Dr |
| City | Gastonia |
| State | NC |
| ZIP | 28054 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | October 17, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $757.8K |
| Medicare | $677K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 790 | $840 | $655.5K |
| 66982 | The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing… | 30 | $830 | $21.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 1,200 | $340 | $409.4K |
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 1,310 | $170 | $225.8K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 230 | $470 | $107.9K |
| 42830 | The provider performs an initial adenoidectomy in a patient who is less than 12 years old. | 30 | $470 | $14.5K |
| V2632 | Posterior chamber intraocular lens | 310 | $1 | $310 |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 180 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 150 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Carolina median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 13 | 90 | 120 | $350 | $184.9K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 17 | 60 | 100 | $390 | $123.1K |
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 16 | 70 | 130 | $160 | $107.5K |
| 42830 | The provider performs an initial adenoidectomy in a patient who is less than 12 years old. | 14 | 20 | 90 | $410 | $79.3K |
| V2632 | Posterior chamber intraocular lens | 9 | 30 | 70 | $10 | $3K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 26 | 60 | 170 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 17 | 40 | 70 | $0 | $0 |
Other providers in the same ZIP code as Caromont Health Services, Inc., ranked by combined Medicare and Medicaid revenue.
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