Physician
Novant Health Medical Group Coastal Region, LLC
Novant Health Medical Group Coastal Region, LLC was paid $244K by Medicaid between Jun 2021 and Dec 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoNOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
WILMINGTON, NC 28401
WILMINGTON, NC 28401
33aNPI1740875806assigned 03/01/2021
33bProvider typeFamily Medicine Physician
28Total paid$244K
24GClaims11,595
24DCodes billed29
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#395 of 960
Median peer was paid$135K
This provider vs. median1.8×
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.
Entity ProliferationAuthorized official DAVIS, SHALA controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2021 | 911 | $35K | |
| 2022 | 2,444 | $71K | |
| 2023 | 3,161 | $41K | |
| 2024incomplete | 5,079 | $96K |
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 | 37% | 2,169 | 1,768 | $90K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 1,070 | 917 | $45K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 11% | 220 | 174 | $27K |
| 74018 | 8.9% | 1,556 | 1,342 | $22K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.5% | 288 | 196 | $21K |
| 99199 | Unlisted special service, procedure or report | 4.4% | 3,616 | 3,594 | $11K |
| 70360 | 2.6% | 456 | 408 | $6K | |
| 77072 | 2.1% | 510 | 452 | $5K | |
| 71046 | Radiologic examination, chest; 2 views | 1.8% | 288 | 252 | $4K |
| 86780 | <1% | 175 | 158 | $2K | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 45 | 27 | $2K |
| 99051 | <1% | 70 | 67 | $2K |
17 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 544 | $1K |
| 99441 | <1% | 28 | $793.24 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 29 | $760.98 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 55 | $575.20 |
| 86803 | <1% | 29 | $448.23 | |
| 86762 | <1% | 27 | $435.10 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 16 | $341.07 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 16 | $341.07 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 43 | $286.16 |
| 87340 | <1% | 29 | $274.96 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 125 | $248.75 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 16 | $147.48 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 13 | $124.61 |
| 85027 | <1% | 14 | $106.70 | |
| 3074F | 0% | 63 | $0.00 | |
| 3044F | 0% | 15 | $0.00 | |
| 3078F | 0% | 70 | $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 officialDAVIS, SHALA (RCS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Novant Medical Group, INC. | Charlotte, NC | $2.82M |
| Forsyth Memorial Hospital INC | Lewisville, NC | $338K |
| Forsyth Memorial Hospital INC | Lexington, NC | $299K |
| Novant Medical Group, INC. | Charlotte, NC | $170K |
| Novant Medical Group INC | Charlotte, NC | $128K |
| Forsyth Memorial Hospital, INC | Clemmons, NC | $121K |
| Novant Medical Group. INC. | Lexington, NC | $113K |
| Novant Medical Group, INC. | Charlotte, NC | $106K |
| Novant Medical Group, INC | Kernersville, NC | $104K |
| Novant Medical Group, INC. | Matthews, NC | $88K |
| Novant Medical Group, INC | Cornelius, NC | $73K |
| NMG Affiliate Practice I, LLC | Gainesville, VA | $65K |
| Novant Health Medical Group, LLC | Indian Land, SC | $61K |
| Forsyth Memorial Hospital INC | Winston Salem, NC | $56K |
| Novant Medical Group, INC. | Rock Hill, SC | $50K |
| Novant Medical Group. INC. | Thomasville, NC | $49K |
| Forsyth Memorial Hospital INC | Winston Salem, NC | $47K |
| Forsyth Memorial Hospital INC | Thomasville, NC | $40K |
| Novant Medical Group INC | Charlotte, NC | $38K |
| Novant Medical Group, INC. | Charlotte, NC | $35K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.