NPI: 1891828562 · CLEMMONS, NC 27012 · Pediatrics Physician · NPI assigned 03/13/2007
Authorized official DAVIS, SHALA controls 20+ related entities in our dataset. Read more
| Authorized Official | DAVIS, SHALA (RCS MANAGER) |
| NPI Enumeration Date | 03/13/2007 |
Other providers sharing the same authorized official: DAVIS, SHALA
| Provider | City | State | Total 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 |
| 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 |
| NOVANT MEDICAL GROUP, INC. | DURHAM | NC | $26K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 256 | $8K |
| 2019 | 199 | $8K |
| 2020 | 96 | $4K |
| 2021 | 1,649 | $23K |
| 2022 | 3,845 | $38K |
| 2023 | 4,058 | $27K |
| 2024 | 4,375 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,320 | 1,027 | $66K |
| 99199 | Unlisted special service, procedure or report | 12,867 | 12,739 | $41K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 167 | 132 | $12K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 33 | 33 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 28 | 27 | $558.30 |
| 90686 | 63 | 63 | $238.45 |