Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $76K by Medicaid between Jan 2018 and Oct 2023, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
SALISBURY, NC 28147
Next to other Sleep Medicine (Psychiatry & Neurology) 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 | |
|---|---|---|---|
| 2018 | 1,351 | $21K | |
| 2019 | 1,363 | $15K | |
| 2020 | 575 | $13K | |
| 2021 | 382 | $10K | |
| 2022 | 30 | $1K | |
| 2023 | 362 | $16K |
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 | 47% | 800 | 754 | $35K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 813 | 767 | $26K |
| 99205 | Prolong outpt/office vis | 5.3% | 41 | 40 | $4K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.3% | 66 | 64 | $3K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 3.5% | 38 | 38 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.1% | 29 | 27 | $2K |
| 95811 | 1.7% | 13 | 13 | $1K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $530.95 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 27 | 27 | $0.00 |
| G8732 | No documentation of pain assessment, reason not given | 0% | 469 | 455 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 149 | 141 | $0.00 |
| 1036F | 0% | 195 | 187 | $0.00 |
9 more codes
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 38 | $0.00 |
| 3017F | 0% | 12 | $0.00 | |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 13 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 26 | $0.00 |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 526 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 609 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 149 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 25 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 13 | $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.