Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1053838789 · CHARLOTTE, NC 28269 · Pediatrics Physician · NPI assigned 08/24/2017

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

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

$2.50M
Total Medicaid Paid
125,113
Total Claims
111,990
Beneficiaries
45
Codes Billed
2018-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date08/24/2017

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 334 $11K
2019 4,225 $157K
2020 8,216 $282K
2021 21,707 $553K
2022 33,097 $807K
2023 34,579 $633K
2024 22,955 $62K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,035 5,732 $441K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,316 3,540 $409K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,836 3,234 $362K
90460 Immunization administration through 18 years of age via any route, first or only component 7,615 6,417 $346K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,060 2,601 $309K
99199 Unlisted special service, procedure or report 55,764 53,975 $185K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,372 1,082 $71K
D0145 Oral evaluation for a patient under three years of age 1,838 1,552 $68K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,043 5,098 $59K
99051 2,201 1,823 $53K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 369 326 $36K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 523 417 $32K
D1206 Topical application of fluoride varnish 1,838 1,552 $30K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,532 1,233 $26K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 776 656 $22K
96161 2,497 2,094 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 455 437 $9K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 75 67 $8K
90461 4,760 3,991 $8K
96127 1,253 1,047 $6K
99381 43 29 $5K
90472 Immunization administration, each additional vaccine (list separately) 119 117 $4K
87634 88 80 $2K
87807 90 60 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 78 38 $1K
92552 1,910 1,622 $870.95
99177 2,867 2,435 $529.34
85018 764 637 $378.17
88720 57 40 $363.38
90686 759 703 $282.47
99173 1,593 1,322 $154.64
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 12 $141.30
90674 327 271 $77.51
36416 769 605 $54.74
83655 122 119 $15.68
90710 222 186 $0.00
90648 875 699 $0.00
90670 3,104 2,620 $0.00
90633 244 210 $0.00
90700 19 14 $0.00
90698 1,427 1,227 $0.00
90680 1,526 1,278 $0.00
90744 386 350 $0.00
90723 537 427 $0.00
99000 16 15 $0.00