Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Novant Health Medical Group, LLC (NPI 1023062452)

Novant Health Medical Group, LLC is a pediatrics physician provider located in Monroe, North Carolina. This profile covers 0 Medicare and 57 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Novant Health Medical Group, LLC
Address	1994 Wellness Blvd
City	Monroe
State	NC
ZIP	28110
Taxonomy	Pediatrics Physician
NPI Enumerated	May 20, 2006

Payer Source	Total Paid
Medicaid	$8.6M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

57 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	32,320	$90	$3M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	20,360	$70	$1.3M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	8,590	$90	$790.3K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	12,770	$50	$638.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,270	$100	$620.3K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	135,150	$1	$540.6K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	6,260	$50	$300.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,110	$100	$204.8K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	5,750	$30	$166.8K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	7,650	$20	$137.8K

Showing 1–10 of 57

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.

Claims Volume vs. North Carolina Distribution

Novant Health Medical Group, LLC — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

57 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	248	2,850	10,910	$10	$330.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	84	4,400	960	$60	$271.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	50	520	1,080	$80	$262.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	78	550	970	$90	$258.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	199	4,130	670	$50	$219.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	160	590	490	$90	$179.8K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	37	380	460	$40	$173.1K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	173	530	270	$90	$112.8K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	217	630	840	$30	$101.2K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	111	610	1,000	$10	$94.2K

Showing 1–10 of 57

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Forsyth Memorial Hospital, Inc.	NC	General Acute Care Hospital	$0	$40.9M
Novant Health Medical Group LLC	NC	Pediatrics Physician	$0	$20.4M
Novant Health Medical Group, LLC	NC	Internal Medicine Physician	$0	$15.3M
Gregory Borstad	NC	Rheumatology Physician	$1.6M	$0
Karrie Grear	NC	Neurology Physician	$1.5M	$0
David Eagle	NY	Hematology & Oncology Physician	$803.3K	$23.7K
Christopher Snyder	NC	Dermatology Physician	$753.6K	$0
Nasfat Shehadeh	NC	Hematology & Oncology Physician	$700K	$0
Howard Homesley	NC	Orthopaedic Surgery Physician	$564.8K	$0
Said Iskandar	VA	Cardiovascular Disease Physician	$462.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Little-gerald Services	NC	Community/Behavioral Health Agency	$0	$13.5M
Trinity Wellness & Community Care	NC	Community/Behavioral Health Agency	$0	$12.4M
Inreach	NC	Developmentally Disabled Services Day Training Agency	$0	$8.5M
Pediatric Boulevard, PLLC	NC	Speech-Language Pathologist	$0	$7.4M
Union Diversified Industries, Inc.	NC	Developmentally Disabled Services Day Training Agency	$0	$7.1M
Carl Smart	NC	Pulmonary Disease Physician	$104.7K	$0
Larry Martin	NC	Orthopaedic Surgery Physician	$77K	$0
Richard Arriviello	NC	Emergency Medicine Physician	$30.4K	$0
Aimee Swain	NC	Registered Nurse	$9.3K	$0

Novant Health Medical Group, LLC — Billing Profile & Reimbursement Data

Sign up for Novant Health Medical Group, LLC — Billing Profile & Reimbursement Data policy alerts

Novant Health Medical Group, LLC — Billing Profile & Reimbursement Data

Sign up for Novant Health Medical Group, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References