Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1063733814 · WALKERTOWN, NC 27051 · Family Medicine Physician · NPI assigned 06/16/2010

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

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

$519K
Total Medicaid Paid
39,305
Total Claims
37,917
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date06/16/2010

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 2,638 $79K
2019 2,404 $94K
2020 937 $51K
2021 3,580 $115K
2022 7,461 $99K
2023 8,963 $39K
2024 13,322 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,646 4,930 $345K
99199 Unlisted special service, procedure or report 30,191 29,723 $110K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,219 1,127 $60K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 328 291 $3K
36415 Collection of venous blood by venipuncture 211 200 $433.70
90686 12 12 $132.40
J1885 Injection, ketorolac tromethamine, per 15 mg 14 13 $7.68
3017F 31 30 $0.00
G8732 No documentation of pain assessment, reason not given 328 313 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 13 13 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 94 91 $0.00
G8432 Depression screening not documented, reason not given 90 89 $0.00
1036F 83 79 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 28 26 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 13 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 539 519 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 414 400 $0.00
G8484 Influenza immunization was not administered, reason not given 26 25 $0.00
G8482 Influenza immunization administered or previously received 12 12 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 13 12 $0.00