Physician
Novant Medical Group, INC
Novant Medical Group, INC was paid $145K by Medicaid between Jan 2018 and Nov 2019, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.
33Billing provider infoNOVANT MEDICAL GROUP, INC
HICKORY, NC 28602
HICKORY, NC 28602
33aNPI1861933376assigned 03/16/2017
33bProvider typeNeurology Physician
28Total paid$145K
24GClaims3,291
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other Neurology Physician providers in North Carolina
Rank by total paid#28 of 86
Median peer was paid$55K
This provider vs. median2.6×
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
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 | |
|---|---|---|---|
| 2018 | 1,703 | $71K | |
| 2019 | 1,588 | $73K |
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 | 70% | 1,808 | 1,742 | $101K |
| 95816 | 9.9% | 161 | 147 | $14K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 9.3% | 93 | 93 | $13K |
| 95886 | 4.4% | 241 | 229 | $6K | |
| 99243 | 2.3% | 37 | 36 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.7% | 30 | 27 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 55 | 54 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 13 | 13 | $1K |
| 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% | 12 | 12 | $0.00 |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 191 | 188 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 99 | 95 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 190 | 185 | $0.00 |
5 more codes
| A4215 | Needle, sterile, any size, each | 0% | 65 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 90 | $0.00 |
| 1036F | 0% | 94 | $0.00 | |
| G8732 | No documentation of pain assessment, reason not given | 0% | 100 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 12 | $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 (ENROLLMENT COORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| Carolina Imaging LLC of Fayetteville | Fayetteville, NC | $1.79M |
| Carolina Medicorp Enterprises, INC | Greensboro, NC | $292K |
| Piedmont Imaging, LLC | Spartanburg, SC | $153K |
| Novant Medical Group, INC. | Charlotte, NC | $119K |
| Asheville Open Mri LLC | Asheville, NC | $57K |
| Jacksonville Diagnostic Imaging LLC | Jacksonville, NC | $39K |
| Palmetto Imaging, LLC | Columbia, SC | $38K |
| Anderson Diagnostic Imaging, LLC | Anderson, SC | $21K |
| Imagecare LLC | Columbia, SC | $15K |
| Palmetto Imaging, LLC | Florence, SC | $12K |
| Piedmont Imaging LLC | Winston-salem, NC | $10K |
| Presbyterian Breast Center LLC | Charlotte, NC | $6K |
| Novant Medical Group, INC. | Huntersville, NC | $6K |
| Novant Medical Group INC | Shallotte, NC | $3K |
| Lexington Open Mri, LLC | Irmo, SC | $1K |
| Lexington Open Mri, LLC | West Columbia, SC | $1K |
| South Carolina Diagnostic Imaging, LLC | N Charleston, SC | $1K |
| Presbyterian Imaging Centers LLC | Charlotte, NC | $724.50 |
| Mecklenburg Diagnostic Imaging LLC | Charlotte, NC | $208.98 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.