Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1134558752 · WINSTON SALEM, NC 27103 · Obstetrics & Gynecology Physician · NPI assigned 11/04/2013

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

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

$222K
Total Medicaid Paid
5,512
Total Claims
4,025
Beneficiaries
21
Codes Billed
2018-01
First Month
2023-05
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date11/04/2013

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 632 $5K
2019 270 $6K
2020 696 $45K
2021 1,958 $75K
2022 1,700 $79K
2023 256 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,329 1,038 $102K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 378 321 $39K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 372 273 $27K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 15 13 $13K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 231 189 $12K
59025 Fetal non-stress test 365 153 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 53 39 $5K
99401 85 58 $2K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 47 39 $2K
90674 101 80 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 146 118 $2K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 20 13 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 20 14 $1K
87210 230 172 $923.42
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 29 26 $874.92
81002 1,987 1,395 $667.80
90686 19 16 $264.80
81025 36 29 $247.95
96127 17 13 $46.75
81003 15 12 $17.90
0503F 17 14 $0.00