Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1003966185 · CHARLOTTE, NC 28207 · Pediatric Gastroenterology Physician · NPI assigned 01/11/2007

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

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

$2.07M
Total Medicaid Paid
17,866
Total Claims
15,862
Beneficiaries
10
Codes Billed
2018-01
First Month
2023-11
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (EDI MANAGER)
NPI Enumeration Date01/11/2007

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 $2.02M
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 $1.33M
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 3,689 $358K
2019 2,866 $359K
2020 2,031 $282K
2021 2,949 $310K
2022 2,819 $325K
2023 3,512 $431K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99244 Office or other outpatient consultation, moderate to high complexity 5,438 4,716 $842K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,512 5,757 $574K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,581 2,307 $305K
99215 Prolong outpt/office vis 1,548 1,413 $206K
99245 596 567 $120K
99205 Prolong outpt/office vis 54 53 $10K
99417 Prolong home eval add 15m 24 23 $4K
82272 751 667 $3K
99199 Unlisted special service, procedure or report 344 344 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18 15 $987.53