Novant Medical Group, INC
Novant Medical Group, INC was paid $150K by Medicaid between Jan 2018 and Apr 2020, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
CHARLOTTE, NC 28226
Next to other Developmental - Behavioral Pediatrics 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 | 778 | $39K | |
| 2019 | 1,577 | $92K | |
| 2020 | 344 | $18K |
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 | 39% | 719 | 699 | $58K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 32% | 409 | 395 | $47K |
| 99205 | Prolong outpt/office vis | 20% | 174 | 169 | $29K |
| 96112 | 5.7% | 83 | 81 | $9K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 56 | 52 | $3K |
| 96111 | 1.6% | 27 | 27 | $2K | |
| 96127 | <1% | 1,231 | 1,205 | $1K |
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
| 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.