Novant Health Medical Group Coastal Region, LLC
Novant Health Medical Group Coastal Region, LLC was paid $170K by Medicaid between Jun 2021 and Oct 2024, across 12 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 80% of everything it billed.
WILMINGTON, NC 28401
Next to other Pulmonary Disease 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 | |
|---|---|---|---|
| 2021 | 251 | $16K | |
| 2022 | 525 | $45K | |
| 2023 | 807 | $56K | |
| 2024incomplete | 1,158 | $53K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 80% | 1,108 | 351 | $136K |
| 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 | 5.1% | 197 | 163 | $9K |
| 94060 | 3.6% | 242 | 200 | $6K | |
| 94729 | 3.4% | 368 | 310 | $6K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.3% | 94 | 46 | $6K |
| 94726 | 2.8% | 306 | 257 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 54 | 51 | $2K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 37 | 13 | $1K |
| 94010 | <1% | 41 | 37 | $172.61 | |
| 3078F | <1% | 158 | 142 | $130.14 | |
| 3074F | <1% | 113 | 101 | $130.14 | |
| 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% | 23 | 15 | $24.92 |
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
| 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.