Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NMG AFFILIATE PRACTICE I, LLC

NPI: 1386113835 · GAINESVILLE, VA 20155 · Pediatrics Physician · NPI assigned 11/14/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DAVIS, SHALA controls 20+ related entities in our dataset. Read more

$65K
Total Medicaid Paid
3,495
Total Claims
2,066
Beneficiaries
16
Codes Billed
2019-02
First Month
2021-08
Last Month

Provider Details

Authorized OfficialDAVIS, SHALA (MANAGER)
NPI Enumeration Date11/14/2018

Related Entities

Other providers sharing the same authorized official: DAVIS, SHALA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,210 $31K
2020 850 $20K
2021 435 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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