Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $1.59M by Medicaid between Sep 2019 and May 2023, across 19 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 24% of everything it billed.
WINSTON SALEM, NC 27103
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 | |
|---|---|---|---|
| 2019 | 1,651 | $37K | |
| 2020 | 3,854 | $144K | |
| 2021 | 6,796 | $375K | |
| 2022 | 11,978 | $704K | |
| 2023 | 5,613 | $330K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 24% | 6,027 | 4,218 | $387K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 20% | 2,895 | 2,259 | $320K |
| 76819 | Fetal biophysical profile; without non-stress testing | 18% | 5,518 | 2,770 | $291K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 11% | 3,584 | 2,009 | $180K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.6% | 4,700 | 2,884 | $137K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.2% | 2,991 | 2,126 | $130K |
| 76820 | 4.2% | 2,458 | 1,192 | $66K | |
| 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 | 2.3% | 570 | 462 | $37K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 91 | 74 | $10K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 128 | 85 | $6K |
| 76801 | <1% | 73 | 59 | $6K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 96 | 68 | $5K |
7 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 93 | $5K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 45 | $3K |
| 99242 | <1% | 45 | $3K | |
| 76818 | <1% | 71 | $2K | |
| 99199 | Unlisted special service, procedure or report | <1% | 275 | $1K |
| 59025 | Fetal non-stress test | <1% | 15 | $442.68 |
| 81002 | <1% | 217 | $364.03 |
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.