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 1922721141)

Novant Health Medical Group LLC is a pediatrics physician provider located in Charlotte, North Carolina. This profile covers 0 Medicare and 82 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	517 S Sharon Amity Rd
City	Charlotte
State	NC
ZIP	28211
Taxonomy	Pediatrics Physician
NPI Enumerated	September 22, 2022

Payer Source	Total Paid
Medicaid	$20.4M
Medicare	$0

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

82 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	105,370	$60	$6.7M
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…	53,140	$90	$4.9M
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.	40,360	$40	$1.7M
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…	13,560	$100	$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…	10,090	$90	$907.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	8,780	$100	$834.3K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	12,420	$60	$782.5K
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…	13,560	$50	$664.3K
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.	21,840	$30	$633.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	4,190	$110	$439.6K

Showing 1–10 of 82

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 — 11 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

82 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.	2,092	2,850	10,910	$10	$330.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,075	1,710	810	$80	$274.5K
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…	42	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…	41	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…	27	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…	16	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.	30	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.	8	380	460	$40	$173.1K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	160	330	300	$10	$142.3K
96113	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for each additional 30 minutes of…	29	40	440	$120	$138.1K

Showing 1–10 of 82

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	Internal Medicine Physician	$0	$15.3M
Novant Health Medical Group, LLC	NC	Pediatrics Physician	$0	$8.6M
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
Alexander Youth Network	NC	Community/Behavioral Health Agency	$0	$36.8M
David H. Moore, Dds,ms,pa	NC	Pediatric Dentistry	$0	$32M
Mid-atlantic Emergency Medical Associates, PLLC	NC	Emergency Medicine Physician	$0	$25.2M
Thompson Child And Family Focus	NC	Community/Behavioral Health Agency	$0	$24.1M
Mecklenburg County	NC	State or Local Public Health Clinic/Center	$0	$22.4M
Carolinas Medical Center	NC	Psychiatric Hospital Unit	$0	$20.6M
Cooke And Mvula, PLLC	NC	Pediatric Dentistry	$0	$18.8M
Carolinas Medical Center	NC	Child & Adolescent Psychiatry Physician	$0	$16.6M
Cotswold Family Medicine	NC	Family Medicine Physician	$0	$12.2M
Thompson Child And Family Focus	NC	Community/Behavioral Health Agency	$0	$10M

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