Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Winston Salem › NPI 1780063958
Physician

Novant Medical Group, INC.

Novant Medical Group, INC. was paid $62K by Medicaid between Jan 2018 and Oct 2019, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.

33Billing provider infoNOVANT MEDICAL GROUP, INC.
WINSTON SALEM, NC 27103
33aNPI1780063958assigned 05/21/2015
33bProvider typeNeurology Physician
28Total paid$62K
24GClaims1,710
24DCodes billed15
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers

Next to other Neurology Physician providers in North Carolina

Rank by total paid#43 of 86
Median peer was paid$55K
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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GARDNER, GEOFFREY controls 19+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2018986$33K
2019724$29K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 59% 738 711 $37K
95810 Polysomnography; sleep staging with 4 or more additional parameters 16% 105 99 $10K
95951 15% 87 47 $9K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.4% 79 77 $3K
95811 1.8% 12 12 $1K
95886 1.8% 24 24 $1K
99243 1.6% 12 12 $986.20
G8732 No documentation of pain assessment, reason not given 0% 123 118 $0.00
G8432 Depression screening not documented, reason not given 0% 29 28 $0.00
1036F 0% 55 53 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 38 37 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 12 12 $0.00
3 more codes
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 200 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 0% 167 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 29 $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, GEOFFREY (VP OF FINANCE)
Same official

Other billing entities under GARDNER, GEOFFREY

Full network →
ProviderLocationPaid
Carolina Imaging LLC of FayettevilleFayetteville, NC$1.79M
Carolina Medicorp Enterprises, INCGreensboro, NC$292K
Piedmont Imaging, LLCSpartanburg, SC$153K
Novant Medical Group, INC.Charlotte, NC$119K
Asheville Open Mri LLCAsheville, NC$57K
Jacksonville Diagnostic Imaging LLCJacksonville, NC$39K
Palmetto Imaging, LLCColumbia, SC$38K
Anderson Diagnostic Imaging, LLCAnderson, SC$21K
Imagecare LLCColumbia, SC$15K
Palmetto Imaging, LLCFlorence, SC$12K
Piedmont Imaging LLCWinston-salem, NC$10K
Presbyterian Breast Center LLCCharlotte, NC$6K
Novant Medical Group, INC.Huntersville, NC$6K
Novant Medical Group INCShallotte, NC$3K
Lexington Open Mri, LLCIrmo, SC$1K
Lexington Open Mri, LLCWest Columbia, SC$1K
South Carolina Diagnostic Imaging, LLCN Charleston, SC$1K
Presbyterian Imaging Centers LLCCharlotte, NC$724.50
Mecklenburg Diagnostic Imaging LLCCharlotte, NC$208.98

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.