NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC

NPI: 1053906115 · WILMINGTON, NC 28401 · Gynecologic Oncology Physician · NPI assigned 03/01/2021

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official DAVIS, SHALA controls 20+ related entities in our dataset. Read more

$9K

Total Medicaid Paid

348

Total Claims

264

Beneficiaries

Codes Billed

2021-08

First Month

2024-11

Last Month

Provider Details

Authorized Official	DAVIS, SHALA (RCS MANAGER)
NPI Enumeration Date	03/01/2021

Other providers sharing the same authorized official: DAVIS, SHALA

Provider	City	State	Total Paid
NOVANT MEDICAL GROUP, INC.	CHARLOTTE	NC	$2.82M
FORSYTH MEMORIAL HOSPITAL INC	LEWISVILLE	NC	$338K
FORSYTH MEMORIAL HOSPITAL INC	LEXINGTON	NC	$299K
NOVANT MEDICAL GROUP, INC.	CHARLOTTE	NC	$170K
NOVANT MEDICAL GROUP INC	CHARLOTTE	NC	$128K
FORSYTH MEMORIAL HOSPITAL, INC	CLEMMONS	NC	$121K
NOVANT MEDICAL GROUP. INC.	LEXINGTON	NC	$113K
NOVANT MEDICAL GROUP, INC.	CHARLOTTE	NC	$106K
NOVANT MEDICAL GROUP, INC	KERNERSVILLE	NC	$104K
NOVANT MEDICAL GROUP, INC.	MATTHEWS	NC	$88K
NOVANT MEDICAL GROUP, INC	CORNELIUS	NC	$73K
NMG AFFILIATE PRACTICE I, LLC	GAINESVILLE	VA	$65K
NOVANT HEALTH MEDICAL GROUP, LLC	INDIAN LAND	SC	$61K
FORSYTH MEMORIAL HOSPITAL INC	WINSTON SALEM	NC	$56K
NOVANT MEDICAL GROUP, INC.	ROCK HILL	SC	$50K
NOVANT MEDICAL GROUP. INC.	THOMASVILLE	NC	$49K
FORSYTH MEMORIAL HOSPITAL INC	WINSTON SALEM	NC	$47K
FORSYTH MEMORIAL HOSPITAL INC	THOMASVILLE	NC	$40K
NOVANT MEDICAL GROUP INC	CHARLOTTE	NC	$38K
NOVANT MEDICAL GROUP, INC.	CHARLOTTE	NC	$35K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	138	100	$3K
99215	Prolong outpt/office vis	35	25	$3K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	63	53	$3K
3078F		57	45	$0.00
3074F		55	41	$0.00