Physician
Novant Health Medical Group Coastal Region, LLC
Novant Health Medical Group Coastal Region, LLC was paid $3.92M by Medicaid between Oct 2021 and Dec 2024, across 51 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoNOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
WILMINGTON, NC 28401
WILMINGTON, NC 28401
33aNPI1811576515assigned 04/08/2021
33bProvider typeOral & Maxillofacial Surgery (D.M.D.)
28Total paid$3.92M
24GClaims54,743
24DCodes billed51
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Oral & Maxillofacial Surgery (D.M.D.) providers in North Carolina
Rank by total paid#2 of 13
Median peer was paid$345K
This provider vs. median11×
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 | 1,256 | $37K | |
| 2022 | 17,195 | $1.14M | |
| 2023 | 17,204 | $1.21M | |
| 2024incomplete | 19,088 | $1.54M |
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 | 26% | 14,358 | 11,846 | $1.02M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 23% | 9,295 | 7,632 | $892K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 15% | 4,128 | 3,379 | $585K |
| 99245 | 9.6% | 2,510 | 1,934 | $378K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.6% | 1,678 | 1,353 | $142K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 3.3% | 2,272 | 1,662 | $128K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 2,487 | 2,062 | $119K |
| 99417 | Prolong home eval add 15m | 2.4% | 760 | 664 | $92K |
| 99243 | 2.3% | 1,016 | 751 | $88K | |
| 95720 | 1.9% | 561 | 442 | $74K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.8% | 589 | 489 | $69K |
| 96112 | 1.7% | 675 | 538 | $65K |
39 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 1.3% | 445 | $52K |
| 93320 | <1% | 2,114 | $33K | |
| 99242 | <1% | 442 | $25K | |
| 99205 | Prolong outpt/office vis | <1% | 132 | $17K |
| 94010 | <1% | 1,185 | $15K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,395 | $15K |
| 95812 | <1% | 304 | $14K | |
| 97802 | <1% | 231 | $13K | |
| 95251 | <1% | 483 | $12K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 163 | $12K |
| 97803 | <1% | 357 | $11K | |
| 93000 | <1% | 711 | $10K | |
| 93325 | <1% | 2,346 | $9K | |
| 94060 | <1% | 263 | $6K | |
| 97161 | <1% | 62 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 418 | $3K |
| 99199 | Unlisted special service, procedure or report | <1% | 614 | $3K |
| 95816 | <1% | 66 | $2K | |
| 95012 | <1% | 168 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 502 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 116 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $940.96 |
| 93308 | <1% | 14 | $907.65 | |
| 99443 | <1% | 12 | $590.92 | |
| 93244 | <1% | 33 | $521.38 | |
| 93227 | <1% | 18 | $426.78 | |
| 93321 | <1% | 15 | $306.79 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 58 | $300.83 |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 14 | $258.41 |
| 96127 | <1% | 52 | $194.83 | |
| 96160 | <1% | 120 | $182.99 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14 | $169.89 |
| 94760 | <1% | 338 | $117.23 | |
| 80053 | Comprehensive metabolic panel | <1% | 47 | $106.30 |
| 80061 | Lipid panel | <1% | 16 | $84.30 |
| 84439 | <1% | 14 | $22.70 | |
| 3074F | 0% | 49 | $0.00 | |
| 90661 | 0% | 13 | $0.00 | |
| 3078F | 0% | 54 | $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.