Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $526K by Medicaid between Jul 2019 and Dec 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
WINSTON SALEM, NC 27101
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 | |
|---|---|---|---|
| 2019 | 962 | $52K | |
| 2020 | 1,426 | $94K | |
| 2021 | 4,443 | $126K | |
| 2022 | 9,825 | $129K | |
| 2023 | 10,587 | $86K | |
| 2024incomplete | 13,064 | $39K |
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 | 53% | 4,358 | 3,913 | $280K |
| 99199 | Unlisted special service, procedure or report | 23% | 33,092 | 32,512 | $123K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 2,078 | 1,869 | $110K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 163 | 154 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 13 | 13 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 168 | 146 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 24 | 16 | $1K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 23 | 16 | $548.98 |
| 96127 | <1% | 100 | 81 | $416.64 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 43 | 39 | $304.80 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13 | 12 | $97.68 |
| 90686 | <1% | 78 | 78 | $33.10 |
5 more codes
| 99173 | <1% | 38 | $1.00 | |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 39 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 41 | $0.00 |
| 92552 | 0% | 24 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 12 | $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.