Physician
Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $268K by Medicaid between Jan 2018 and Oct 2023, across 20 billing codes. Its largest line is 95720, — 36% of everything it billed.
33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
33aNPI1023349404assigned 01/25/2010
33bProvider typeNeurology Physician
28Total paid$268K
24GClaims4,367
24DCodes billed20
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Neurology Physician providers in North Carolina
Rank by total paid#19 of 86
Median peer was paid$55K
This provider vs. median4.9×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 648 | $33K | |
| 2019 | 560 | $28K | |
| 2020 | 626 | $52K | |
| 2021 | 714 | $49K | |
| 2022 | 535 | $39K | |
| 2023 | 1,284 | $67K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95720 | 36% | 883 | 395 | $95K | |
| 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 | 26% | 1,427 | 1,262 | $71K |
| 95951 | 16% | 350 | 188 | $42K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.9% | 735 | 664 | $24K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 3.3% | 77 | 72 | $9K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.5% | 94 | 92 | $7K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.7% | 53 | 50 | $5K |
| 95886 | 1.6% | 95 | 88 | $4K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.6% | 31 | 24 | $4K |
| 64615 | 1.6% | 62 | 52 | $4K | |
| 99205 | Prolong outpt/office vis | <1% | 13 | 12 | $2K |
| 95806 | <1% | 13 | 13 | $613.19 |
8 more codes
| 95816 | <1% | 17 | $578.90 | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 33 | $549.52 |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 115 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 144 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 24 | $0.00 |
| G8732 | No documentation of pain assessment, reason not given | 0% | 133 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 40 | $0.00 |
| 1036F | 0% | 28 | $0.00 |
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 (RCS MANAGER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.