Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1023349404 · WINSTON SALEM, NC 27103 · Neurology Physician · NPI assigned 01/25/2010

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

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

$268K
Total Medicaid Paid
4,367
Total Claims
3,411
Beneficiaries
20
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date01/25/2010

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 648 $33K
2019 560 $28K
2020 626 $52K
2021 714 $49K
2022 535 $39K
2023 1,284 $67K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
95720 883 395 $95K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,427 1,262 $71K
95951 350 188 $42K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 735 664 $24K
95810 Polysomnography; sleep staging with 4 or more additional parameters 77 72 $9K
99215 Prolong outpt/office vis 94 92 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 53 50 $5K
95886 95 88 $4K
99244 Office or other outpatient consultation, moderate to high complexity 31 24 $4K
64615 62 52 $4K
99205 Prolong outpt/office vis 13 12 $2K
95806 13 13 $613.19
95816 17 15 $578.90
J0585 Injection, onabotulinumtoxina, 1 unit 33 27 $549.52
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 115 107 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 144 136 $0.00
G8484 Influenza immunization was not administered, reason not given 24 24 $0.00
G8732 No documentation of pain assessment, reason not given 133 126 $0.00
G8432 Depression screening not documented, reason not given 40 38 $0.00
1036F 28 26 $0.00