Medicaid Provider Spending

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

NOVANT MEDICAL GROUP INC

NPI: 1104152024 · SALISBURY, NC 28146 · Pediatrics Physician · NPI assigned 10/28/2009

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

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

$1.18M
Total Medicaid Paid
57,010
Total Claims
52,335
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
Parent OrganizationNOVANT MEDICAL GROUP, INC
NPI Enumeration Date10/28/2009

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 5,281 $148K
2019 4,565 $175K
2020 3,726 $169K
2021 7,976 $253K
2022 13,415 $264K
2023 15,244 $155K
2024 6,803 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,248 8,389 $739K
99199 Unlisted special service, procedure or report 32,465 31,953 $111K
99215 Prolong outpt/office vis 1,316 1,101 $111K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,830 1,552 $101K
90460 Immunization administration through 18 years of age via any route, first or only component 991 896 $41K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 233 207 $15K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 462 391 $13K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 536 450 $9K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 83 72 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 338 325 $7K
36415 Collection of venous blood by venipuncture 2,672 2,270 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 698 627 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 43 39 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 254 126 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 384 373 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 107 101 $1K
81003 789 677 $1K
90472 Immunization administration, each additional vaccine (list separately) 36 36 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $905.44
96127 318 221 $659.04
90461 180 166 $408.42
90686 296 271 $238.39
93000 14 12 $146.39
81025 15 13 $122.85
90633 15 13 $38.45
99173 305 298 $28.18
92551 14 14 $2.00
G8732 No documentation of pain assessment, reason not given 435 311 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 12 12 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 45 39 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 137 102 $0.00
1036F 110 90 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 16 14 $0.00
G8432 Depression screening not documented, reason not given 68 55 $0.00
3017F 31 28 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 681 496 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 566 407 $0.00
G8484 Influenza immunization was not administered, reason not given 125 88 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 75 52 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 39 24 $0.00
G8482 Influenza immunization administered or previously received 16 12 $0.00