Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1023062452 · MONROE, NC 28110 · Pediatrics Physician · NPI assigned 05/20/2006

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

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

$8.57M
Total Medicaid Paid
344,156
Total Claims
309,354
Beneficiaries
57
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date05/20/2006

Related Entities

Other providers sharing the same authorized official: WALTON, LEEA

ProviderCityStateTotal Paid
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
NOVANT HEALTH MEDICAL GROUP, LLC HUNTERSVILLE NC $1.20M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28,704 $912K
2019 30,622 $1.23M
2020 28,132 $1.20M
2021 70,702 $1.93M
2022 83,020 $2.06M
2023 60,020 $1.13M
2024 42,956 $114K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 32,322 27,829 $3.04M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,357 17,230 $1.32M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,590 6,987 $787K
90460 Immunization administration through 18 years of age via any route, first or only component 12,769 11,014 $639K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,266 5,430 $618K
99199 Unlisted special service, procedure or report 135,146 132,550 $481K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 6,262 5,134 $300K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,111 1,822 $205K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 5,753 4,918 $165K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 7,653 6,311 $135K
96110 Developmental screening, with scoring and documentation, per standardized instrument 14,337 12,423 $126K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 8,267 3,753 $111K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 11,362 9,872 $102K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 858 760 $90K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,176 3,869 $78K
90472 Immunization administration, each additional vaccine (list separately) 2,192 2,049 $68K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,055 874 $67K
D0145 Oral evaluation for a patient under three years of age 1,357 1,254 $48K
96127 10,908 9,159 $47K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,378 2,287 $31K
87807 2,086 1,751 $28K
D1206 Topical application of fluoride varnish 1,357 1,254 $21K
81003 7,159 6,268 $11K
90461 7,904 6,714 $10K
90474 455 420 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 160 141 $6K
99381 64 51 $6K
90651 135 116 $5K
90686 3,562 3,307 $5K
96161 699 541 $2K
36415 Collection of venous blood by venipuncture 734 608 $2K
99215 Prolong outpt/office vis 16 12 $2K
92551 4,593 4,126 $1K
99051 54 41 $1K
90734 62 50 $790.16
99173 4,367 3,891 $468.55
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 38 38 $386.84
92567 30 28 $381.92
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 18 14 $319.03
99177 1,813 1,606 $278.73
90674 973 791 $258.94
90670 5,282 4,637 $224.49
88720 16 12 $101.02
90633 1,026 889 $68.73
J0696 Injection, ceftriaxone sodium, per 250 mg 15 12 $51.80
90680 2,586 2,269 $0.00
90698 2,394 2,130 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 38 38 $0.00
90744 690 631 $0.00
90723 563 470 $0.00
90732 12 12 $0.00
90716 15 14 $0.00
90648 1,052 884 $0.00
92552 12 12 $0.00
90707 16 14 $0.00
90700 28 24 $0.00
90687 13 13 $0.00