NPI: 1386113835 · GAINESVILLE, VA 20155 · Pediatrics Physician · NPI assigned 11/14/2018
Authorized official DAVIS, SHALA controls 20+ related entities in our dataset. Read more
| Authorized Official | DAVIS, SHALA (MANAGER) |
| NPI Enumeration Date | 11/14/2018 |
Other providers sharing the same authorized official: DAVIS, SHALA
| Provider | City | State | Total Paid |
|---|---|---|---|
| NOVANT MEDICAL GROUP, INC. | CHARLOTTE | NC | $2.82M |
| 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 |
| 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,210 | $31K |
| 2020 | 850 | $20K |
| 2021 | 435 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,367 | 700 | $39K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 480 | 264 | $21K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 136 | 54 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 18 | 12 | $925.32 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 180 | 60 | $790.44 |
| 96127 | 187 | 111 | $476.17 | |
| 99177 | 163 | 139 | $471.38 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 419 | 329 | $340.48 |
| 92551 | 28 | 28 | $259.74 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 137 | 99 | $145.84 |
| 90686 | 149 | 134 | $116.30 | |
| 99000 | 63 | 24 | $80.96 | |
| 99173 | 27 | 27 | $64.22 | |
| 81003 | 46 | 12 | $5.20 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 79 | 61 | $0.00 |
| 90461 | 16 | 12 | $0.00 |