Physician
Novant Health Medical Group Coastal Region, LLC
Novant Health Medical Group Coastal Region, LLC was paid $2.95M by Medicaid between Jun 2021 and Dec 2024, across 30 billing codes. Its largest line is 76819, Fetal biophysical profile; without non-stress testing — 29% of everything it billed.
33Billing provider infoNOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
WILMINGTON, NC 28403
WILMINGTON, NC 28403
33aNPI1962097006assigned 03/01/2021
33bProvider typeObstetrics & Gynecology Physician
28Total paid$2.95M
24GClaims62,369
24DCodes billed30
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in North Carolina
Rank by total paid#13 of 189
Median peer was paid$47K
This provider vs. median63×
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
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 | |
|---|---|---|---|
| 2021 | 12,593 | $604K | |
| 2022 | 19,393 | $835K | |
| 2023 | 18,879 | $860K | |
| 2024incomplete | 11,504 | $651K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76819 | Fetal biophysical profile; without non-stress testing | 29% | 13,558 | 7,049 | $843K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 24% | 9,254 | 6,927 | $693K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 14% | 3,188 | 2,497 | $404K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.1% | 4,839 | 3,580 | $238K |
| 76818 | 7.2% | 2,575 | 1,361 | $212K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 4.8% | 1,419 | 1,160 | $140K |
| 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 | 4.3% | 1,719 | 1,301 | $126K |
| 76820 | 3.1% | 2,549 | 1,202 | $92K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 2,437 | 1,922 | $73K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 540 | 405 | $53K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 281 | 180 | $16K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 233 | 182 | $13K |
18 more codes
| 76825 | <1% | 82 | $10K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 82 | $9K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,113 | $5K |
| 96040 | <1% | 186 | $4K | |
| 76827 | <1% | 81 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 43 | $3K |
| 59025 | Fetal non-stress test | <1% | 108 | $3K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 26 | $2K |
| 93325 | <1% | 83 | $2K | |
| 99243 | <1% | 35 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 17 | $2K |
| 99417 | Prolong home eval add 15m | <1% | 15 | $933.00 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 12 | $172.04 |
| 3074F | 0% | 7,908 | $0.00 | |
| 3075F | 0% | 295 | $0.00 | |
| 3079F | 0% | 1,963 | $0.00 | |
| 3080F | 0% | 16 | $0.00 | |
| 3078F | 0% | 6,712 | $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 officialDAVIS, SHALA (RCS MANAGER)
| Provider | Location | 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 |
| Forsyth Memorial Hospital, INC | Clemmons, NC | $121K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.