Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Novant Health Medical Group, LLC

Novant Health Medical Group, LLC was paid $56K by Medicaid between Feb 2018 and May 2023, across 14 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 34% of everything it billed.

33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
WINSTON SALEM, NC 27103
33aNPI1083986111assigned 02/06/2012
28Total paid$56K
24GClaims3,046
24DCodes billed14
24AFirst – last monthFeb 2018 – May 2023
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in North Carolina

Rank by total paid#91 of 189
Median peer was paid$47K
This provider vs. median1.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official WALTON, LEEA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018501$92.10
2019242$78.78
2020299$7K
2021665$11K
20221,146$26K
2023193$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 34% 235 189 $19K
76801 28% 166 123 $16K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 11% 126 100 $6K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6.9% 40 28 $4K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 5.8% 29 25 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4.7% 110 39 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 4.1% 36 30 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.6% 24 14 $1K
59025 Fetal non-stress test 2.1% 36 26 $1K
81002 1.1% 1,477 1,067 $597.05
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 19 13 $186.65
36415 Collection of venous blood by venipuncture <1% 210 135 $103.98
2 more codes
99000 0% 521 $0.00
0500F 0% 17 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialWALTON, LEEA (RCS MANAGER)
Same official

Other billing entities under WALTON, LEEA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.