Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $284K by Medicaid between Jan 2018 and Sep 2023, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.
WINSTON SALEM, NC 27103
Next to other Pain Medicine (Physical Medicine & Rehabilitation) 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 | 824 | $29K | |
| 2019 | 1,360 | $34K | |
| 2020 | 1,010 | $29K | |
| 2021 | 1,975 | $67K | |
| 2022 | 1,715 | $65K | |
| 2023 | 2,057 | $59K |
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 | 69% | 4,045 | 3,482 | $197K |
| 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 | 11% | 395 | 370 | $31K |
| 64483 | 6.4% | 166 | 130 | $18K | |
| 64493 | 5.4% | 299 | 227 | $15K | |
| 27096 | 3.0% | 122 | 105 | $9K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1.5% | 1,103 | 871 | $4K |
| 99152 | 1.2% | 792 | 580 | $3K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 1.0% | 1,116 | 967 | $3K |
| 64635 | <1% | 17 | 12 | $2K | |
| 64494 | <1% | 14 | 13 | $342.30 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | 12 | $301.81 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 131 | 104 | $245.30 |
7 more codes
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 95 | $36.74 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 90 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 32 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 16 | $0.00 |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 102 | $0.00 |
| G8509 | Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given | 0% | 60 | $0.00 |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | 0% | 333 | $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.