Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $519K by Medicaid between Jan 2018 and Feb 2024, across 25 billing codes. Its largest line is S0281, Medical home program, comprehensive care coordination and planning, maintenance of plan — 23% of everything it billed.
CHARLOTTE, NC 28204
Next to other Obstetrics & Gynecology 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 | 3,396 | $181K | |
| 2019 | 3,484 | $126K | |
| 2020 | 1,489 | $45K | |
| 2021 | 4,721 | $78K | |
| 2022 | 6,820 | $70K | |
| 2023 | 4,306 | $16K | |
| 2024incomplete | 626 | $2K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 23% | 1,021 | 805 | $120K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 15% | 726 | 680 | $79K |
| 76819 | Fetal biophysical profile; without non-stress testing | 10% | 781 | 617 | $53K |
| 99199 | Unlisted special service, procedure or report | 8.7% | 12,144 | 11,779 | $45K |
| 90715 | 7.9% | 1,048 | 895 | $41K | |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 7.5% | 26 | 26 | $39K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 6.9% | 840 | 774 | $36K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 6.4% | 411 | 385 | $33K |
| 59025 | Fetal non-stress test | 5.3% | 907 | 588 | $27K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.1% | 1,353 | 1,124 | $16K |
| 99401 | 2.5% | 502 | 336 | $13K | |
| 76801 | <1% | 44 | 39 | $4K |
13 more codes
| 90674 | <1% | 193 | $4K | |
| 81002 | <1% | 2,409 | $2K | |
| 90686 | <1% | 111 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 43 | $1K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 12 | $880.80 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 56 | $859.56 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 50 | $650.14 |
| 81003 | <1% | 869 | $444.20 | |
| 81025 | <1% | 14 | $85.80 | |
| 96127 | <1% | 14 | $54.17 | |
| 0503F | 0% | 787 | $0.00 | |
| 0500F | 0% | 466 | $0.00 | |
| 90656 | 0% | 15 | $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.