Novant Medical Group, INC.
Novant Medical Group, INC. was paid $2.82M by Medicaid between Jan 2018 and Jun 2023, across 11 billing codes. Its largest line is 76811, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed — 35% of everything it billed.
CHARLOTTE, NC 28204
Next to other Maternal & Fetal Medicine 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 | 5,257 | $414K | |
| 2019 | 5,501 | $431K | |
| 2020 | 5,741 | $455K | |
| 2021 | 8,316 | $594K | |
| 2022 | 7,768 | $590K | |
| 2023 | 4,243 | $332K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 35% | 7,511 | 6,290 | $984K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 33% | 13,069 | 9,424 | $926K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 15% | 6,500 | 5,366 | $416K |
| 76819 | Fetal biophysical profile; without non-stress testing | 12% | 5,946 | 4,265 | $331K |
| 99241 | 3.1% | 2,576 | 2,284 | $88K | |
| 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 | <1% | 352 | 272 | $26K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 464 | 348 | $23K |
| 76801 | <1% | 131 | 103 | $10K | |
| 99242 | <1% | 95 | 77 | $6K | |
| 76820 | <1% | 150 | 103 | $5K | |
| 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% | 32 | 25 | $2K |
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 |
|---|---|---|
| Forsyth Memorial Hospital INC | Lewisville, NC | $338K |
| Forsyth Memorial Hospital INC | Lexington, NC | $299K |
| Novant Medical Group, INC. | Charlotte, NC | $170K |
| Novant Medical Group INC | Charlotte, NC | $128K |
| Forsyth Memorial Hospital, INC | Clemmons, NC | $121K |
| Novant Medical Group. INC. | Lexington, NC | $113K |
| Novant Medical Group, INC. | Charlotte, NC | $106K |
| Novant Medical Group, INC | Kernersville, NC | $104K |
| Novant Medical Group, INC. | Matthews, NC | $88K |
| Novant Medical Group, INC | Cornelius, NC | $73K |
| NMG Affiliate Practice I, LLC | Gainesville, VA | $65K |
| Novant Health Medical Group, LLC | Indian Land, SC | $61K |
| Forsyth Memorial Hospital INC | Winston Salem, NC | $56K |
| Novant Medical Group, INC. | Rock Hill, SC | $50K |
| Novant Medical Group. INC. | Thomasville, NC | $49K |
| Forsyth Memorial Hospital INC | Winston Salem, NC | $47K |
| Forsyth Memorial Hospital INC | Thomasville, NC | $40K |
| Novant Medical Group INC | Charlotte, NC | $38K |
| Novant Medical Group, INC. | Charlotte, NC | $35K |
| Novant Medical Group, INC. | Durham, NC | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.