Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Novant Health Medical Group, LLC

Novant Health Medical Group, LLC was paid $900K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.

33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
MONROE, NC 28110
33aNPI1043258718assigned 06/03/2006
28Total paid$900K
24GClaims82,202
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in North Carolina

Rank by total paid#86 of 616
Median peer was paid$74K
This provider vs. median12×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20182,173$86K
20191,473$101K
20201,084$74K
20218,339$169K
202219,699$229K
202322,190$159K
2024incomplete27,244$81K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 62% 8,245 7,064 $561K
99199 Unlisted special service, procedure or report 27% 71,363 69,606 $241K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10% 1,854 1,547 $94K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 89 59 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 64 63 $1K
83036 Hemoglobin; glycosylated (A1C) <1% 43 37 $316.05
90686 <1% 55 55 $264.80
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 14 12 $207.66
1036F 0% 26 24 $0.00
G8732 No documentation of pain assessment, reason not given 0% 115 104 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 26 25 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 169 156 $0.00
2 more codes
G8752 Most recent systolic blood pressure < 140 mmhg 0% 25 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 0% 114 $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)
Same official

Other billing entities under WALTON, LEEA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.