Novant Health Medical Group LLC
Novant Health Medical Group LLC was paid $609K by Medicaid between Jan 2018 and May 2023, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
BOLIVIA, NC 28422
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 | 2,617 | $89K | |
| 2019 | 1,806 | $90K | |
| 2020 | 1,643 | $112K | |
| 2021 | 2,007 | $115K | |
| 2022 | 2,846 | $146K | |
| 2023 | 872 | $57K |
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 | 42% | 3,205 | 2,676 | $253K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 2,866 | 2,405 | $164K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 8.8% | 673 | 582 | $54K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 6.4% | 818 | 729 | $39K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 5.1% | 24 | 24 | $31K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 2.3% | 317 | 262 | $14K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.4% | 591 | 494 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 638 | 542 | $8K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.3% | 87 | 80 | $8K |
| 76801 | 1.2% | 77 | 70 | $7K | |
| 59025 | Fetal non-stress test | <1% | 188 | 126 | $5K |
| 90715 | <1% | 155 | 118 | $5K |
11 more codes
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 26 | $3K |
| 81025 | <1% | 443 | $3K | |
| 90674 | <1% | 120 | $2K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 12 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $1K |
| 81003 | <1% | 546 | $980.91 | |
| 81002 | <1% | 858 | $830.13 | |
| 90686 | <1% | 62 | $794.40 | |
| 99401 | <1% | 34 | $636.14 | |
| 87210 | <1% | 13 | $47.00 | |
| 99024 | 0% | 24 | $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.