Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $804K by Medicaid between Jul 2019 and Dec 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
HARRISBURG, NC 28075
Next to other Pediatrics 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 | |
|---|---|---|---|
| 2019 | 242 | $15K | |
| 2020 | 2,137 | $86K | |
| 2021 | 6,078 | $172K | |
| 2022 | 14,117 | $285K | |
| 2023 | 14,735 | $222K | |
| 2024incomplete | 8,743 | $24K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 2,804 | 2,167 | $183K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 22% | 1,788 | 1,399 | $173K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 18% | 2,833 | 2,302 | $144K |
| 99199 | Unlisted special service, procedure or report | 11% | 27,261 | 26,566 | $84K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.7% | 760 | 600 | $78K |
| 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 | 4.5% | 373 | 319 | $36K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.3% | 730 | 584 | $34K |
| D0145 | Oral evaluation for a patient under three years of age | 2.2% | 490 | 387 | $18K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 1,406 | 1,136 | $14K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.3% | 715 | 565 | $11K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.1% | 148 | 120 | $9K |
| D1206 | Topical application of fluoride varnish | <1% | 472 | 372 | $7K |
21 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 31 | $3K |
| 90461 | <1% | 1,719 | $3K | |
| 96161 | <1% | 583 | $2K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 66 | $2K |
| 96127 | <1% | 263 | $1K | |
| 92552 | <1% | 338 | $405.44 | |
| 90686 | <1% | 207 | $219.30 | |
| 87807 | <1% | 14 | $202.02 | |
| 90674 | <1% | 194 | $173.12 | |
| 99177 | <1% | 253 | $37.24 | |
| 85018 | <1% | 105 | $29.28 | |
| 99173 | <1% | 106 | $6.12 | |
| 90670 | 0% | 1,027 | $0.00 | |
| 90648 | 0% | 285 | $0.00 | |
| 90633 | 0% | 51 | $0.00 | |
| 99000 | 0% | 196 | $0.00 | |
| 36416 | 0% | 99 | $0.00 | |
| 90723 | 0% | 193 | $0.00 | |
| 90680 | 0% | 308 | $0.00 | |
| 90744 | 0% | 26 | $0.00 | |
| 90698 | 0% | 208 | $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.