Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1043375033 · CHARLOTTE, NC 28211 · Orthopaedic Surgery Physician · NPI assigned 12/27/2006

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

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

$191K
Total Medicaid Paid
9,936
Total Claims
8,336
Beneficiaries
30
Codes Billed
2018-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date12/27/2006

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 1,742 $10K
2019 1,450 $10K
2020 927 $15K
2021 2,199 $51K
2022 1,664 $44K
2023 1,954 $59K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,060 882 $45K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,583 1,396 $41K
20610 1,427 999 $37K
73630 1,145 842 $18K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 172 143 $17K
73610 749 586 $13K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 194 180 $11K
73502 180 154 $3K
J1030 Injection, methylprednisolone acetate, 40 mg 686 605 $3K
73562 181 147 $2K
73560 143 125 $1K
73565 88 86 $517.74
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 82 67 $508.89
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 17 15 $109.80
G8432 Depression screening not documented, reason not given 201 191 $0.00
3017F 185 174 $0.00
1036F 292 273 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 219 206 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 38 37 $0.00
G8732 No documentation of pain assessment, reason not given 128 121 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 15 14 $0.00
1101F 14 13 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 15 14 $0.00
1123F 14 13 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 378 358 $0.00
4040F 26 25 $0.00
G8484 Influenza immunization was not administered, reason not given 113 109 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 522 497 $0.00
G8509 Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given 12 12 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 57 52 $0.00