Physician
Novus Healthcare, INC.
Novus Healthcare, INC. was paid $1.69M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoNOVUS HEALTHCARE, INC.
MARTINSBURG, WV 25401
MARTINSBURG, WV 25401
33aNPI1710365549assigned 05/13/2015
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$1.69M
24GClaims44,222
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in West Virginia
Rank by total paid#1 of 9
Median peer was paid$56K
This provider vs. median30×
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 | 8,245 | $283K | |
| 2019 | 3,252 | $89K | |
| 2020 | 8,086 | $324K | |
| 2021 | 7,587 | $281K | |
| 2022 | 6,808 | $271K | |
| 2023 | 5,522 | $240K | |
| 2024incomplete | 4,722 | $200K |
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 | 41% | 11,639 | 10,562 | $696K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 13,206 | 9,270 | $653K |
| 80305 | 15% | 14,772 | 9,771 | $245K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 2.2% | 814 | 730 | $37K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.2% | 385 | 365 | $37K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,383 | 1,305 | $10K |
| 82962 | <1% | 1,776 | 1,687 | $8K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 180 | 159 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | 13 | $414.52 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 12 | 12 | $24.43 |
| 36416 | 0% | 42 | 38 | $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 officialGARCIA, ANTONIO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Antonio G Garcia MD | Brooklyn, NY | $33K |
| Urban Medical Clinic INC | Pomona, CA | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.