Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

NMG Affiliate Practice I, LLC

NMG Affiliate Practice I, LLC was paid $65K by Medicaid between Feb 2019 and Aug 2021, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.

33Billing provider infoNMG AFFILIATE PRACTICE I, LLC
GAINESVILLE, VA 20155
33aNPI1386113835assigned 11/14/2018
33bProvider typePediatrics Physician
28Total paid$65K
24GClaims3,495
24DCodes billed16
24AFirst – last monthFeb 2019 – Aug 2021
Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#291 of 817
Median peer was paid$29K
This provider vs. median2.2×

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.

Entity ProliferationAuthorized official DAVIS, SHALA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20192,210$31K
2020850$20K
2021435$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 60% 1,367 700 $39K
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 32% 480 264 $21K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.9% 136 54 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.4% 18 12 $925.32
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.2% 180 60 $790.44
96127 <1% 187 111 $476.17
99177 <1% 163 139 $471.38
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 419 329 $340.48
92551 <1% 28 28 $259.74
90472 Immunization administration, each additional vaccine (list separately) <1% 137 99 $145.84
90686 <1% 149 134 $116.30
99000 <1% 63 24 $80.96
4 more codes
99173 <1% 27 $64.22
81003 <1% 46 $5.20
90460 Immunization administration through 18 years of age via any route, first or only component 0% 79 $0.00
90461 0% 16 $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.

From NPPES

Who's on the registration

Authorized officialDAVIS, SHALA (MANAGER)
Same official

Other billing entities under DAVIS, SHALA

Full network →
ProviderLocationPaid
Novant Medical Group, INC.Charlotte, NC$2.82M
Forsyth Memorial Hospital INCLewisville, NC$338K
Forsyth Memorial Hospital INCLexington, NC$299K
Novant Medical Group, INC.Charlotte, NC$170K
Novant Medical Group INCCharlotte, NC$128K
Forsyth Memorial Hospital, INCClemmons, NC$121K
Novant Medical Group. INC.Lexington, NC$113K
Novant Medical Group, INC.Charlotte, NC$106K
Novant Medical Group, INCKernersville, NC$104K
Novant Medical Group, INC.Matthews, NC$88K
Novant Medical Group, INCCornelius, NC$73K
Novant Health Medical Group, LLCIndian Land, SC$61K
Forsyth Memorial Hospital INCWinston Salem, NC$56K
Novant Medical Group, INC.Rock Hill, SC$50K
Novant Medical Group. INC.Thomasville, NC$49K
Forsyth Memorial Hospital INCWinston Salem, NC$47K
Forsyth Memorial Hospital INCThomasville, NC$40K
Novant Medical Group INCCharlotte, 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.