Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Novant Health Medical Group Coastal Region, LLC

Novant Health Medical Group Coastal Region, LLC was paid $1.22M by Medicaid between Jun 2021 and Dec 2024, across 15 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 41% of everything it billed.

33Billing provider infoNOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
WILMINGTON, NC 28401
33aNPI1881289932assigned 03/01/2021
33bProvider typeNeurology Physician
28Total paid$1.22M
24GClaims17,088
24DCodes billed15
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers

Next to other Neurology Physician providers in North Carolina

Rank by total paid#3 of 86
Median peer was paid$55K
This provider vs. median22×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20211,246$110K
20224,092$301K
20233,767$276K
2024incomplete7,983$530K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 41% 9,340 2,606 $503K
99245 33% 3,155 2,459 $400K
90792 Psychiatric diagnostic evaluation with medical services 11% 1,155 891 $132K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 6.8% 1,153 699 $83K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.5% 838 307 $31K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1.9% 787 272 $23K
99417 Prolong home eval add 15m <1% 170 130 $12K
99223 Prolong inpt eval add15 m <1% 96 74 $11K
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 <1% 76 52 $6K
99356 <1% 112 31 $5K
90838 <1% 88 34 $4K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient <1% 36 12 $2K
3 more codes
99238 Hospital discharge day management, 30 minutes or less <1% 40 $2K
99255 <1% 23 $2K
99239 Hospital discharge day management, more than 30 minutes <1% 19 $1K

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)
Same official

Other billing entities under DAVIS, SHALA

Full network →
ProviderLocationPaid
Novant Medical Group, INC.Charlotte, NC$2.82M
Forsyth Memorial Hospital INCLewisville, NC$338K
Forsyth Memorial Hospital INCLexington, NC$299K
Novant Medical Group, INC.Charlotte, NC$170K
Novant Medical Group INCCharlotte, NC$128K
Forsyth Memorial Hospital, INCClemmons, NC$121K
Novant Medical Group. INC.Lexington, NC$113K
Novant Medical Group, INC.Charlotte, NC$106K
Novant Medical Group, INCKernersville, NC$104K
Novant Medical Group, INC.Matthews, NC$88K
Novant Medical Group, INCCornelius, NC$73K
NMG Affiliate Practice I, LLCGainesville, VA$65K
Novant Health Medical Group, LLCIndian Land, SC$61K
Forsyth Memorial Hospital INCWinston Salem, NC$56K
Novant Medical Group, INC.Rock Hill, SC$50K
Novant Medical Group. INC.Thomasville, NC$49K
Forsyth Memorial Hospital INCWinston Salem, NC$47K
Forsyth Memorial Hospital INCThomasville, NC$40K
Novant Medical Group INCCharlotte, 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.