Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Novant Health Medical Group, LLC

Novant Health Medical Group, LLC was paid $2.07M by Medicaid between Jan 2018 and Nov 2023, across 10 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 41% of everything it billed.

33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
CHARLOTTE, NC 28207
33aNPI1003966185assigned 01/11/2007
28Total paid$2.07M
24GClaims17,866
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers

Next to other Pediatric Gastroenterology Physician providers in North Carolina

Rank by total paid#1 of 8
Median peer was paid$2K
This provider vs. median859×

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 WALTON, LEEA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20183,689$358K
20192,866$359K
20202,031$282K
20212,949$310K
20222,819$325K
20233,512$431K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99244 Office or other outpatient consultation, moderate to high complexity 41% 5,438 4,716 $842K
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 28% 6,512 5,757 $574K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 15% 2,581 2,307 $305K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 10.0% 1,548 1,413 $206K
99245 5.8% 596 567 $120K
99205 Prolong outpt/office vis <1% 54 53 $10K
99417 Prolong home eval add 15m <1% 24 23 $4K
82272 <1% 751 667 $3K
99199 Unlisted special service, procedure or report <1% 344 344 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 18 15 $987.53

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 officialWALTON, LEEA (EDI MANAGER)
Same official

Other billing entities under WALTON, LEEA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.