Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $125K by Medicaid between Jan 2018 and Sep 2023, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
WINSTON SALEM, NC 27103
Next to other Foot Surgery Podiatrist 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 | |
|---|---|---|---|
| 2018 | 966 | $14K | |
| 2019 | 883 | $13K | |
| 2020 | 614 | $14K | |
| 2021 | 1,407 | $30K | |
| 2022 | 785 | $22K | |
| 2023 | 1,946 | $32K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 61% | 3,136 | 2,604 | $76K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 30% | 822 | 682 | $37K |
| 11721 | 7.3% | 1,671 | 1,485 | $9K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 1.2% | 61 | 37 | $2K |
| 11056 | <1% | 98 | 85 | $537.82 | |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 240 | 219 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 196 | 182 | $0.00 |
| G8442 | Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter | 0% | 24 | 24 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 30 | 27 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 70 | 67 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 53 | 49 | $0.00 |
| 1036F | 0% | 86 | 81 | $0.00 |
5 more codes
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 38 | $0.00 |
| 3017F | 0% | 12 | $0.00 | |
| G8732 | No documentation of pain assessment, reason not given | 0% | 38 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 13 | $0.00 |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 13 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.