Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1144514662 · KANNAPOLIS, NC 28083 · Family Medicine Physician · NPI assigned 06/01/2011

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

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

$677K
Total Medicaid Paid
55,544
Total Claims
53,317
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date06/01/2011

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 4,568 $108K
2019 3,042 $111K
2020 1,112 $73K
2021 3,951 $97K
2022 10,856 $134K
2023 13,926 $101K
2024 18,089 $52K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,698 5,836 $428K
99199 Unlisted special service, procedure or report 42,811 42,006 $144K
99215 Prolong outpt/office vis 789 733 $51K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 876 725 $43K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 150 141 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 201 195 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 47 45 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 102 67 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 18 16 $872.27
90686 145 139 $866.93
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 30 15 $423.90
96127 75 53 $308.75
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 12 $169.56
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 13 13 $84.48
G8484 Influenza immunization was not administered, reason not given 67 61 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 587 535 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 773 718 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 55 53 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 145 138 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 44 43 $0.00
G8482 Influenza immunization administered or previously received 13 12 $0.00
G8732 No documentation of pain assessment, reason not given 684 631 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 137 130 $0.00
G8432 Depression screening not documented, reason not given 445 411 $0.00
3017F 76 72 $0.00
1036F 256 235 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 73 70 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 221 212 $0.00