Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NOVANT MEDICAL GROUP, INC

NPI: 1861933376 · HICKORY, NC 28602 · Neurology Physician · NPI assigned 03/16/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GARDNER, GEOFFREY controls 19+ related entities in our dataset. Read more

$145K
Total Medicaid Paid
3,291
Total Claims
3,168
Beneficiaries
17
Codes Billed
2018-01
First Month
2019-11
Last Month

Provider Details

Authorized OfficialGARDNER, GEOFFREY (ENROLLMENT COORDINATOR)
NPI Enumeration Date03/16/2017

Related Entities

Other providers sharing the same authorized official: GARDNER, GEOFFREY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,703 $71K
2019 1,588 $73K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,808 1,742 $101K
95816 161 147 $14K
99244 Office or other outpatient consultation, moderate to high complexity 93 93 $13K
95886 241 229 $6K
99243 37 36 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 30 27 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 55 54 $2K
99205 Prolong outpt/office vis 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 12 12 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 191 188 $0.00
G8484 Influenza immunization was not administered, reason not given 99 95 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 190 185 $0.00
A4215 Needle, sterile, any size, each 65 63 $0.00
G8432 Depression screening not documented, reason not given 90 86 $0.00
1036F 94 90 $0.00
G8732 No documentation of pain assessment, reason not given 100 96 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 12 12 $0.00