Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1134586506 · SALISBURY, NC 28147 · Family Medicine Physician · NPI assigned 01/15/2016

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

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

$554K
Total Medicaid Paid
40,034
Total Claims
37,675
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date01/15/2016

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 1,662 $49K
2019 2,110 $71K
2020 1,406 $65K
2021 4,234 $110K
2022 9,053 $132K
2023 9,498 $91K
2024 12,071 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,899 4,260 $326K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,850 1,453 $100K
99199 Unlisted special service, procedure or report 28,137 27,613 $97K
99215 Prolong outpt/office vis 148 130 $10K
90460 Immunization administration through 18 years of age via any route, first or only component 230 173 $8K
36415 Collection of venous blood by venipuncture 2,052 1,746 $4K
90674 120 103 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 126 100 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 81 67 $975.79
99442 29 26 $881.94
90686 81 70 $750.71
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 35 29 $623.08
83036 Hemoglobin; glycosylated (A1C) 62 56 $382.56
92551 77 56 $79.85
99173 79 59 $21.09
G8732 No documentation of pain assessment, reason not given 391 333 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 73 65 $0.00
1036F 114 90 $0.00
G8432 Depression screening not documented, reason not given 144 124 $0.00
G0008 Administration of influenza virus vaccine 13 12 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 15 14 $0.00
99000 15 12 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 16 14 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 15 13 $0.00
3017F 14 13 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 552 472 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 494 419 $0.00
G8484 Influenza immunization was not administered, reason not given 99 88 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 46 39 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 14 13 $0.00