Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $66K by Medicaid between Jan 2018 and Jul 2023, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
THOMASVILLE, NC 27360
Next to other Pain Medicine (Anesthesiology) 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 | 1,028 | $17K | |
| 2019 | 1,051 | $11K | |
| 2020 | 554 | $9K | |
| 2021 | 561 | $12K | |
| 2022 | 266 | $10K | |
| 2023 | 264 | $7K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 65% | 1,709 | 1,567 | $42K |
| 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 | 33% | 648 | 580 | $22K |
| 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 | 1.0% | 12 | 12 | $680.61 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 21 | 12 | $677.03 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 31 | 29 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 42 | 40 | $0.00 |
| 3017F | 0% | 86 | 76 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 106 | 100 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 31 | 26 | $0.00 |
| 1036F | 0% | 64 | 57 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 14 | 12 | $0.00 |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 257 | 242 | $0.00 |
6 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 328 | $0.00 |
| 4004F | 0% | 34 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 12 | $0.00 |
| G8509 | Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given | 0% | 198 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 88 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 43 | $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.