Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1003862426 · CHARLOTTE, NC 28227 · Family Medicine Physician · NPI assigned 05/26/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WALTON, LEEA controls 20+ related entities in our dataset. Read more

$1.33M
Total Medicaid Paid
134,187
Total Claims
129,489
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date05/26/2006

Related Entities

Other providers sharing the same authorized official: WALTON, LEEA

ProviderCityStateTotal Paid
NOVANT HEALTH MEDICAL GROUP, LLC MONROE NC $8.57M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $5.75M
NOVANT HEALTH MEDICAL GROUP, LLC MATTHEWS NC $4.57M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $3.45M
FORSYTH MEMORIAL HOSPITAL, INC MOUNT AIRY NC $3.23M
NOVANT HEALTH MEDICAL GROUP, LLC SHALLOTTE NC $3.02M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $2.83M
FORSYTH MEMORIAL HOSPITAL INC KING NC $2.46M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $2.35M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $2.30M
FORSYTH MEMORIAL HOSPITAL INC YADKINVILLE NC $2.23M
NOVANT HEALTH MEDICAL GROUP, LLC SALISBURY NC $2.10M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $2.07M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $2.02M
NOVANT HEALTH MEDICAL GROUP, LLC CORNELIUS NC $1.95M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $1.87M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $1.82M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $1.66M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $1.29M
NOVANT HEALTH MEDICAL GROUP, LLC HUNTERSVILLE NC $1.20M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,121 $117K
2019 3,488 $176K
2020 2,902 $148K
2021 14,201 $247K
2022 30,541 $277K
2023 34,219 $233K
2024 45,715 $127K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,010 4,194 $407K
99199 Unlisted special service, procedure or report 116,478 113,917 $392K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,601 4,855 $328K
90460 Immunization administration through 18 years of age via any route, first or only component 1,449 1,332 $61K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 498 476 $43K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 270 256 $29K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 920 872 $17K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 220 178 $10K
90472 Immunization administration, each additional vaccine (list separately) 360 347 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 62 50 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 38 25 $5K
96110 Developmental screening, with scoring and documentation, per standardized instrument 458 446 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 52 42 $3K
99215 Prolong outpt/office vis 25 17 $3K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 158 125 $3K
90686 553 525 $2K
90474 57 57 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 13 $569.89
90461 348 317 $243.48
92551 541 467 $85.84
99173 590 498 $62.52
90698 100 100 $0.00
90744 41 38 $0.00
90680 57 57 $0.00
G8732 No documentation of pain assessment, reason not given 13 13 $0.00
90670 248 246 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 13 13 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 13 13 $0.00