Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1104081959 · CHARLOTTE, NC 28204 · Obstetrics & Gynecology Physician · NPI assigned 07/22/2008

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
24,842
Total Claims
22,096
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-02
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date07/22/2008

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 3,396 $181K
2019 3,484 $126K
2020 1,489 $45K
2021 4,721 $78K
2022 6,820 $70K
2023 4,306 $16K
2024 626 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 1,021 805 $120K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 726 680 $79K
76819 Fetal biophysical profile; without non-stress testing 781 617 $53K
99199 Unlisted special service, procedure or report 12,144 11,779 $45K
90715 1,048 895 $41K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 26 26 $39K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 840 774 $36K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 411 385 $33K
59025 Fetal non-stress test 907 588 $27K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,353 1,124 $16K
99401 502 336 $13K
76801 44 39 $4K
90674 193 151 $4K
81002 2,409 1,763 $2K
90686 111 105 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 43 26 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $880.80
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 56 38 $859.56
90472 Immunization administration, each additional vaccine (list separately) 50 46 $650.14
81003 869 771 $444.20
81025 14 14 $85.80
96127 14 14 $54.17
0503F 787 663 $0.00
0500F 466 432 $0.00
90656 15 13 $0.00