Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1013962307 · CHARLOTTE, NC 28270 · Family Medicine Physician · NPI assigned 05/24/2006

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

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

$1.17M
Total Medicaid Paid
103,660
Total Claims
99,430
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date05/24/2006

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 $1.33M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $1.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,877 $176K
2019 3,508 $179K
2020 2,253 $120K
2021 11,525 $214K
2022 26,748 $254K
2023 25,455 $142K
2024 29,294 $86K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,177 6,425 $487K
99199 Unlisted special service, procedure or report 85,187 82,818 $302K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,481 4,879 $297K
90460 Immunization administration through 18 years of age via any route, first or only component 779 719 $29K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 778 730 $14K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,272 1,157 $9K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 61 55 $6K
90472 Immunization administration, each additional vaccine (list separately) 150 145 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 37 36 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 28 26 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 54 54 $3K
90686 676 627 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 121 102 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 29 26 $1K
83036 Hemoglobin; glycosylated (A1C) 140 126 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 78 39 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13 12 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 131 119 $960.37
90674 88 81 $540.55
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 31 25 $528.45
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 12 12 $338.64
81001 51 40 $124.50
92551 60 56 $18.36
99173 35 32 $3.06
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 351 324 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 264 240 $0.00
90461 32 32 $0.00
99177 14 14 $0.00
G8432 Depression screening not documented, reason not given 68 63 $0.00
G8732 No documentation of pain assessment, reason not given 264 243 $0.00
1036F 152 135 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 29 26 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 17 12 $0.00