Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $73K by Medicaid between Jan 2018 and Aug 2023, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
WINSTON SALEM, NC 27103
Next to other Surgery 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 | 253 | $14K | |
| 2019 | 123 | $8K | |
| 2020 | 90 | $4K | |
| 2021 | 231 | $10K | |
| 2022 | 312 | $18K | |
| 2023 | 395 | $18K |
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 | 47% | 813 | 704 | $35K |
| 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 | 34% | 437 | 414 | $25K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 11% | 64 | 51 | $8K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.3% | 42 | 28 | $3K |
| 97803 | 2.9% | 34 | 29 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 14 | 12 | $24.30 |
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.