Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $519K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.
WALKERTOWN, NC 27051
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 | 2,638 | $79K | |
| 2019 | 2,404 | $94K | |
| 2020 | 937 | $51K | |
| 2021 | 3,580 | $115K | |
| 2022 | 7,461 | $99K | |
| 2023 | 8,963 | $39K | |
| 2024incomplete | 13,322 | $41K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 67% | 5,646 | 4,930 | $345K |
| 99199 | Unlisted special service, procedure or report | 21% | 30,191 | 29,723 | $110K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 1,219 | 1,127 | $60K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 328 | 291 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 211 | 200 | $433.70 |
| 90686 | <1% | 12 | 12 | $132.40 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 14 | 13 | $7.68 |
| 3017F | 0% | 31 | 30 | $0.00 | |
| G8732 | No documentation of pain assessment, reason not given | 0% | 328 | 313 | $0.00 |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 13 | 13 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 94 | 91 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 90 | 89 | $0.00 |
8 more codes
| 1036F | 0% | 83 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 28 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 13 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 539 | $0.00 |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 414 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 26 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 12 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 13 | $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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.