Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1134841802 · CHARLOTTE, NC 28262 · Internal Medicine Physician · NPI assigned 09/19/2022

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

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

$15.37M
Total Medicaid Paid
333,145
Total Claims
306,150
Beneficiaries
82
Codes Billed
2023-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date09/19/2022

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
2023 94,719 $4.40M
2024 238,426 $10.97M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 126,464 114,861 $9.03M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 60,616 55,615 $3.29M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 8,070 7,713 $487K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 9,518 8,962 $444K
90460 Immunization administration through 18 years of age via any route, first or only component 8,290 7,612 $340K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 9,910 9,385 $282K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,472 2,132 $233K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,336 2,168 $231K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,555 1,428 $151K
96127 32,801 31,384 $150K
99215 Prolong outpt/office vis 1,840 1,699 $148K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 876 821 $94K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 750 664 $80K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7,299 6,735 $56K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,728 5,356 $55K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,868 1,354 $31K
90837 Psychotherapy, 53 minutes with patient 351 207 $29K
99199 Unlisted special service, procedure or report 9,181 9,125 $27K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,714 890 $25K
99051 1,030 984 $24K
87634 683 661 $19K
36415 Collection of venous blood by venipuncture 7,489 6,932 $15K
83036 Hemoglobin; glycosylated (A1C) 1,893 1,766 $13K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 4,141 3,822 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 140 135 $11K
99308 Subsequent nursing facility care, per day, straightforward 792 423 $10K
90461 2,371 2,172 $10K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 105 103 $9K
90674 1,975 1,768 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 590 524 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 555 516 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 583 549 $8K
81003 2,980 2,747 $6K
87807 341 330 $5K
90661 1,016 955 $4K
71046 Radiologic examination, chest; 2 views 221 214 $3K
96161 613 558 $2K
D0145 Oral evaluation for a patient under three years of age 51 44 $2K
90677 823 798 $2K
99385 13 13 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 83 78 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 41 39 $1K
80305 113 99 $1K
D1206 Topical application of fluoride varnish 52 44 $853.80
81001 264 245 $849.29
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 1,979 1,897 $818.31
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $536.68
81025 58 53 $440.29
93000 14 12 $135.90
92551 1,626 1,484 $114.63
99173 1,898 1,701 $108.64
J1050 Injection, medroxyprogesterone acetate, 1 mg 28 25 $84.71
92552 652 590 $82.73
85027 13 13 $78.14
J0696 Injection, ceftriaxone sodium, per 250 mg 35 31 $55.13
82948 14 13 $39.62
82043 14 12 $34.62
82570 14 12 $30.96
90656 106 106 $22.11
90686 178 162 $19.55
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 13 12 $2.53
99000 1,791 1,653 $0.00
90651 34 28 $0.00
90680 342 309 $0.00
90698 85 76 $0.00
90723 407 367 $0.00
J3535 Drug administered through a metered dose inhaler 19 17 $0.00
G0008 Administration of influenza virus vaccine 82 78 $0.00
99174 66 66 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 67 62 $0.00
90696 18 14 $0.00
90744 13 13 $0.00
90700 42 38 $0.00
99177 1,296 1,190 $0.00
90734 77 65 $0.00
90648 882 823 $0.00
90633 240 216 $0.00
90653 29 28 $0.00
90670 298 244 $0.00
90710 50 42 $0.00
G0444 Annual depression screening, 5 to 15 minutes 15 15 $0.00
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 41 41 $0.00