Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $798K by Medicaid between Jan 2022 and Dec 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
OAK RIDGE, NC 27310
Next to other 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 | |
|---|---|---|---|
| 2022 | 9,883 | $440K | |
| 2023 | 9,785 | $338K | |
| 2024incomplete | 7,439 | $20K |
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 | 43% | 3,596 | 2,684 | $343K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 2,880 | 2,167 | $185K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 1,818 | 1,378 | $83K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.3% | 350 | 275 | $34K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.7% | 307 | 223 | $29K |
| 99199 | Unlisted special service, procedure or report | 3.4% | 10,123 | 10,021 | $27K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 180 | 138 | $18K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.0% | 1,615 | 1,231 | $16K |
| 96127 | 1.8% | 2,923 | 2,248 | $14K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.5% | 194 | 150 | $12K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 70 | 51 | $8K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 123 | 95 | $6K |
14 more codes
| D0145 | Oral evaluation for a patient under three years of age | <1% | 147 | $5K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 149 | $4K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 224 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 31 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 147 | $2K |
| 90461 | <1% | 796 | $2K | |
| 92551 | <1% | 534 | $123.28 | |
| 90674 | <1% | 425 | $115.82 | |
| 96161 | <1% | 17 | $65.01 | |
| 99173 | <1% | 254 | $22.72 | |
| 90670 | 0% | 110 | $0.00 | |
| 90648 | 0% | 12 | $0.00 | |
| 90680 | 0% | 27 | $0.00 | |
| 90686 | 0% | 55 | $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.