Physician
Novant Medical Group, INC.
Novant Medical Group, INC. was paid $256K by Medicaid between Jan 2018 and Sep 2019, across 25 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 31% of everything it billed.
33Billing provider infoNOVANT MEDICAL GROUP, INC.
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
33aNPI1073026019assigned 11/13/2017
33bProvider typePediatrics Physician
28Total paid$256K
24GClaims9,788
24DCodes billed25
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#284 of 433
Median peer was paid$942K
This provider vs. median0.3×
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.
Entity ProliferationAuthorized official GARDNER, GEOFFREY controls 19+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,863 | $139K | |
| 2019 | 3,925 | $117K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 31% | 1,093 | 929 | $80K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 1,087 | 909 | $59K |
| 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 | 14% | 562 | 404 | $36K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 9.6% | 1,433 | 1,246 | $25K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 6.8% | 835 | 721 | $17K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.7% | 1,153 | 1,005 | $9K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.0% | 139 | 136 | $8K |
| 90474 | 2.9% | 422 | 370 | $7K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.4% | 70 | 69 | $6K |
| D0145 | Oral evaluation for a patient under three years of age | 1.1% | 86 | 85 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 175 | 70 | $2K |
| 96161 | <1% | 411 | 401 | $1K |
13 more codes
| D1206 | Topical application of fluoride varnish | <1% | 86 | $1K |
| 99051 | <1% | 13 | $317.76 | |
| 96127 | <1% | 36 | $161.50 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $155.43 |
| 85018 | <1% | 30 | $2.92 | |
| 90670 | 0% | 675 | $0.00 | |
| 90461 | 0% | 103 | $0.00 | |
| 99177 | 0% | 34 | $0.00 | |
| 90633 | 0% | 14 | $0.00 | |
| 90680 | 0% | 506 | $0.00 | |
| 90698 | 0% | 622 | $0.00 | |
| 90744 | 0% | 122 | $0.00 | |
| 90686 | 0% | 69 | $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.
From NPPES
Who's on the registration
Authorized officialGARDNER, GEOFFREY (VP OF FINANCE)
| Provider | Location | Paid |
|---|---|---|
| Carolina Imaging LLC of Fayetteville | Fayetteville, NC | $1.79M |
| Carolina Medicorp Enterprises, INC | Greensboro, NC | $292K |
| Piedmont Imaging, LLC | Spartanburg, SC | $153K |
| Novant Medical Group, INC. | Charlotte, NC | $119K |
| Asheville Open Mri LLC | Asheville, NC | $57K |
| Jacksonville Diagnostic Imaging LLC | Jacksonville, NC | $39K |
| Palmetto Imaging, LLC | Columbia, SC | $38K |
| Anderson Diagnostic Imaging, LLC | Anderson, SC | $21K |
| Imagecare LLC | Columbia, SC | $15K |
| Palmetto Imaging, LLC | Florence, SC | $12K |
| Piedmont Imaging LLC | Winston-salem, NC | $10K |
| Presbyterian Breast Center LLC | Charlotte, NC | $6K |
| Novant Medical Group, INC. | Huntersville, NC | $6K |
| Novant Medical Group INC | Shallotte, NC | $3K |
| Lexington Open Mri, LLC | Irmo, SC | $1K |
| Lexington Open Mri, LLC | West Columbia, SC | $1K |
| South Carolina Diagnostic Imaging, LLC | N Charleston, SC | $1K |
| Presbyterian Imaging Centers LLC | Charlotte, NC | $724.50 |
| Mecklenburg Diagnostic Imaging LLC | Charlotte, NC | $208.98 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.