Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $425K by Medicaid between Feb 2021 and Sep 2023, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
CHARLOTTE, NC 28226
Next to other Pediatric Pulmonology 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 | |
|---|---|---|---|
| 2021 | 974 | $96K | |
| 2022 | 1,653 | $162K | |
| 2023 | 1,995 | $167K |
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 | 55% | 2,475 | 1,900 | $235K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 22% | 753 | 563 | $95K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 13% | 343 | 253 | $53K |
| 99245 | 5.9% | 144 | 114 | $25K | |
| 99205 | Prolong outpt/office vis | 1.9% | 47 | 37 | $8K |
| 94375 | 1.1% | 179 | 144 | $5K | |
| 94664 | <1% | 347 | 271 | $4K | |
| 94010 | <1% | 69 | 59 | $1K | |
| S8101 | Holding chamber or spacer for use with an inhaler or nebulizer; with mask | 0% | 155 | 122 | $0.00 |
| S9441 | Asthma education, non-physician provider, per session | 0% | 110 | 86 | $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.