Medicaid Provider Spending

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

FOUNDATION HEALTH SYSTEMS CORP.

NPI: 1053379941 · WINSTON SALEM, NC 27105 · Physician Assistant · NPI assigned 05/02/2006

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

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

$340K
Total Medicaid Paid
47,539
Total Claims
43,034
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date05/02/2006

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 5,950 $62K
2019 4,660 $39K
2020 3,117 $33K
2021 7,150 $67K
2022 10,777 $70K
2023 9,247 $50K
2024 6,638 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,616 1,475 $80K
99199 Unlisted special service, procedure or report 19,242 18,870 $62K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 984 878 $51K
81025 5,860 5,018 $40K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 337 298 $30K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,081 1,833 $30K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 225 185 $15K
81003 7,094 5,910 $10K
87210 2,007 1,803 $8K
85018 2,737 2,313 $7K
36415 Collection of venous blood by venipuncture 3,025 2,624 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 101 85 $1K
90674 48 37 $884.78
90686 34 33 $347.55
81002 200 171 $237.03
99000 1,864 1,437 $16.00
0500F 26 24 $0.00
36416 46 28 $0.00
S0280 Medical home program, comprehensive care coordination and planning, initial plan 12 12 $0.00