Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1083666887 · MATTHEWS, NC 28105 · Neurology Physician · NPI assigned 05/17/2006

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

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

$399K
Total Medicaid Paid
7,887
Total Claims
6,721
Beneficiaries
21
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (EDI MANAGER)
NPI Enumeration Date05/17/2006

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 1,276 $47K
2019 1,605 $52K
2020 1,100 $58K
2021 1,121 $62K
2022 1,429 $100K
2023 1,356 $80K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,338 2,938 $180K
95720 618 268 $73K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,078 1,022 $39K
95951 245 112 $31K
99215 Prolong outpt/office vis 494 422 $31K
95810 Polysomnography; sleep staging with 4 or more additional parameters 266 226 $24K
95806 246 184 $12K
99205 Prolong outpt/office vis 46 38 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 29 25 $2K
95886 44 37 $2K
95816 12 12 $658.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 403 394 $0.00
G8484 Influenza immunization was not administered, reason not given 74 71 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 395 385 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 14 14 $0.00
G8442 Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter 12 12 $0.00
1036F 195 192 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 115 112 $0.00
G8732 No documentation of pain assessment, reason not given 73 72 $0.00
G8432 Depression screening not documented, reason not given 178 173 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 12 12 $0.00