Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $782K by Medicaid between Sep 2019 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
CONCORD, NC 28027
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 | 13 | $46.75 | |
| 2020 | 1,083 | $31K | |
| 2021 | 9,333 | $210K | |
| 2022 | 16,503 | $283K | |
| 2023 | 16,435 | $228K | |
| 2024incomplete | 11,598 | $30K |
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 | 31% | 3,818 | 3,019 | $245K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 19% | 2,792 | 2,217 | $146K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 1,360 | 1,017 | $132K |
| 99199 | Unlisted special service, procedure or report | 14% | 34,747 | 34,182 | $108K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.9% | 540 | 428 | $54K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.4% | 2,820 | 2,241 | $27K |
| 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 | 3.2% | 250 | 215 | $25K |
| 96127 | 2.2% | 3,938 | 3,127 | $17K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 87 | 74 | $9K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 388 | 290 | $6K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 135 | 98 | $6K |
| 90461 | <1% | 1,752 | 1,364 | $4K |
13 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 63 | $1K |
| 96161 | <1% | 251 | $921.60 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 92 | $708.70 |
| 90670 | <1% | 686 | $498.14 | |
| 90686 | <1% | 170 | $90.78 | |
| 90674 | <1% | 111 | $69.99 | |
| 99177 | <1% | 230 | $18.62 | |
| 92551 | <1% | 135 | $10.59 | |
| 90648 | 0% | 192 | $0.00 | |
| 90633 | 0% | 77 | $0.00 | |
| 90680 | 0% | 124 | $0.00 | |
| 90723 | 0% | 79 | $0.00 | |
| 90698 | 0% | 128 | $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.