Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $222K by Medicaid between Jan 2018 and May 2023, across 21 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 46% of everything it billed.
WINSTON SALEM, NC 27103
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 | 632 | $5K | |
| 2019 | 270 | $6K | |
| 2020 | 696 | $45K | |
| 2021 | 1,958 | $75K | |
| 2022 | 1,700 | $79K | |
| 2023 | 256 | $12K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 46% | 1,329 | 1,038 | $102K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 18% | 378 | 321 | $39K |
| 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 | 12% | 372 | 273 | $27K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 5.9% | 15 | 13 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.5% | 231 | 189 | $12K |
| 59025 | Fetal non-stress test | 4.2% | 365 | 153 | $9K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.2% | 53 | 39 | $5K |
| 99401 | 1.1% | 85 | 58 | $2K | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 47 | 39 | $2K |
| 90674 | <1% | 101 | 80 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 146 | 118 | $2K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 20 | 13 | $2K |
9 more codes
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 20 | $1K |
| 87210 | <1% | 230 | $923.42 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 29 | $874.92 |
| 81002 | <1% | 1,987 | $667.80 | |
| 90686 | <1% | 19 | $264.80 | |
| 81025 | <1% | 36 | $247.95 | |
| 96127 | <1% | 17 | $46.75 | |
| 81003 | <1% | 15 | $17.90 | |
| 0503F | 0% | 17 | $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.