Physician
Novant Medical Group INC
Novant Medical Group INC was paid $143K by Medicaid between Jan 2018 and Jun 2020, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.
33Billing provider infoNOVANT MEDICAL GROUP INC
MADISON, NC 27025
MADISON, NC 27025
33aNPI1669863940assigned 02/09/2015
33bProvider typeFamily Medicine Physician
28Total paid$143K
24GClaims4,519
24DCodes billed17
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#472 of 960
Median peer was paid$135K
This provider vs. median1.1×
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.
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 | |
|---|---|---|---|
| 2018 | 2,025 | $55K | |
| 2019 | 1,978 | $64K | |
| 2020 | 516 | $24K |
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 | 74% | 1,988 | 1,567 | $107K |
| 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% | 742 | 620 | $33K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 120 | 44 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 59 | 57 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 18 | 18 | $429.45 |
| 99441 | <1% | 19 | 18 | $327.00 | |
| 90686 | <1% | 44 | 44 | $215.15 | |
| G8732 | No documentation of pain assessment, reason not given | 0% | 181 | 127 | $0.00 |
| 1036F | 0% | 154 | 97 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 175 | 119 | $0.00 |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 72 | 39 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 86 | 53 | $0.00 |
5 more codes
| 1101F | 0% | 41 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 62 | $0.00 |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 351 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 388 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 19 | $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 officialGARDNER, GEFFOREY (VP OF FINANCE)