Physician
Novant Medical Group INC
Novant Medical Group INC was paid $1.18M by Medicaid between Jan 2018 and May 2024, across 41 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.
33Billing provider infoNOVANT MEDICAL GROUP INC
SALISBURY, NC 28146
SALISBURY, NC 28146
33aNPI1104152024assigned 10/28/2009
33bProvider typePediatrics Physician
28Total paid$1.18M
24GClaims57,010
24DCodes billed41
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#197 of 433
Median peer was paid$942K
This provider vs. median1.3×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,281 | $148K | |
| 2019 | 4,565 | $175K | |
| 2020 | 3,726 | $169K | |
| 2021 | 7,976 | $253K | |
| 2022 | 13,415 | $264K | |
| 2023 | 15,244 | $155K | |
| 2024incomplete | 6,803 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 63% | 10,248 | 8,389 | $739K |
| 99199 | Unlisted special service, procedure or report | 9.4% | 32,465 | 31,953 | $111K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.4% | 1,316 | 1,101 | $111K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.6% | 1,830 | 1,552 | $101K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.4% | 991 | 896 | $41K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.3% | 233 | 207 | $15K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.1% | 462 | 391 | $13K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 536 | 450 | $9K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 83 | 72 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 338 | 325 | $7K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,672 | 2,270 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 698 | 627 | $5K |
29 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 43 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 254 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 384 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 107 | $1K |
| 81003 | <1% | 789 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 36 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | $905.44 |
| 96127 | <1% | 318 | $659.04 | |
| 90461 | <1% | 180 | $408.42 | |
| 90686 | <1% | 296 | $238.39 | |
| 93000 | <1% | 14 | $146.39 | |
| 81025 | <1% | 15 | $122.85 | |
| 90633 | <1% | 15 | $38.45 | |
| 99173 | <1% | 305 | $28.18 | |
| 92551 | <1% | 14 | $2.00 | |
| G8732 | No documentation of pain assessment, reason not given | 0% | 435 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 12 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 45 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 137 | $0.00 |
| 1036F | 0% | 110 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 16 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 68 | $0.00 |
| 3017F | 0% | 31 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 681 | $0.00 |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 566 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 125 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 75 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 39 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 16 | $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)
Parent organizationNOVANT MEDICAL GROUP, INC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.