Medicaid Provider Spending

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

NPI: 1053655647 · HUNTERSVILLE, NC 28078 · Cardiovascular Disease Physician · NPI assigned 11/20/2012

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

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

$12K
Total Medicaid Paid
281
Total Claims
232
Beneficiaries
4
Codes Billed
2018-03
First Month
2023-10
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date11/20/2012

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 13 $134.48
2019 13 $504.52
2020 39 $2K
2021 35 $856.59
2022 47 $3K
2023 134 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 206 165 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 34 30 $3K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 25 25 $2K
99215 Prolong outpt/office vis 16 12 $911.32