Physician
Novant Health Medical Group Coastal Region, LLC
Novant Health Medical Group Coastal Region, LLC was paid $682K by Medicaid between Jun 2021 and Dec 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoNOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
ROCKY POINT, NC 28457
ROCKY POINT, NC 28457
33aNPI1457946519assigned 03/01/2021
33bProvider typeFamily Medicine Physician
28Total paid$682K
24GClaims28,154
24DCodes billed38
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#195 of 960
Median peer was paid$135K
This provider vs. median5.1×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 3,062 | $148K | |
| 2022 | 5,331 | $145K | |
| 2023 | 8,496 | $183K | |
| 2024incomplete | 11,265 | $207K |
Box 24 · Service lines
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 | 30% | 3,348 | 2,914 | $207K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 3,631 | 2,960 | $191K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 16% | 824 | 707 | $109K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.1% | 737 | 618 | $62K |
| 99199 | Unlisted special service, procedure or report | 3.8% | 8,512 | 8,204 | $26K |
| 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 | 3.6% | 208 | 189 | $25K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 1.2% | 133 | 100 | $8K |
| 99051 | 1.0% | 281 | 263 | $7K | |
| 80053 | Comprehensive metabolic panel | 1.0% | 859 | 710 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 402 | 322 | $6K |
| 80061 | Lipid panel | <1% | 463 | 379 | $6K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 451 | 375 | $4K |
26 more codes
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 134 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 105 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,641 | $3K |
| 85027 | <1% | 511 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 51 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 187 | $2K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 172 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 197 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $1K |
| 96127 | <1% | 145 | $523.69 | |
| 92551 | <1% | 86 | $186.53 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 76 | $166.40 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 13 | $140.46 |
| 3074F | <1% | 1,482 | $108.32 | |
| 3079F | <1% | 420 | $108.32 | |
| 99173 | <1% | 89 | $56.70 | |
| 90686 | <1% | 36 | $37.60 | |
| 81003 | <1% | 20 | $28.66 | |
| 3078F | <1% | 1,964 | $5.05 | |
| 3077F | 0% | 83 | $0.00 | |
| 90687 | 0% | 15 | $0.00 | |
| 3075F | 0% | 608 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | $0.00 |
| 3044F | 0% | 207 | $0.00 | |
| 3080F | 0% | 25 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 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.
From NPPES
Who's on the registration
Authorized officialDAVIS, SHALA (RCS MANAGER)
| Provider | Location | 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 |
| NMG Affiliate Practice I, LLC | Gainesville, VA | $65K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.