Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $399K by Medicaid between Jan 2018 and Oct 2023, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
MATTHEWS, NC 28105
Next to other Neurology 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 | 1,276 | $47K | |
| 2019 | 1,605 | $52K | |
| 2020 | 1,100 | $58K | |
| 2021 | 1,121 | $62K | |
| 2022 | 1,429 | $100K | |
| 2023 | 1,356 | $80K |
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 | 45% | 3,338 | 2,938 | $180K |
| 95720 | 18% | 618 | 268 | $73K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.7% | 1,078 | 1,022 | $39K |
| 95951 | 7.9% | 245 | 112 | $31K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.8% | 494 | 422 | $31K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 5.9% | 266 | 226 | $24K |
| 95806 | 3.1% | 246 | 184 | $12K | |
| 99205 | Prolong outpt/office vis | <1% | 46 | 38 | $4K |
| 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 | <1% | 29 | 25 | $2K |
| 95886 | <1% | 44 | 37 | $2K | |
| 95816 | <1% | 12 | 12 | $658.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 403 | 394 | $0.00 |
9 more codes
| G8484 | Influenza immunization was not administered, reason not given | 0% | 74 | $0.00 |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 395 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 14 | $0.00 |
| G8442 | Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter | 0% | 12 | $0.00 |
| 1036F | 0% | 195 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 115 | $0.00 |
| G8732 | No documentation of pain assessment, reason not given | 0% | 73 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 178 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 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.