Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1154579522 · SALISBURY, NC 28144 · Family Medicine Physician · NPI assigned 08/28/2008

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

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

$2.10M
Total Medicaid Paid
118,025
Total Claims
108,839
Beneficiaries
69
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date08/28/2008

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 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
NOVANT HEALTH MEDICAL GROUP, LLC HUNTERSVILLE NC $1.20M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,206 $265K
2019 12,331 $382K
2020 6,437 $289K
2021 13,676 $429K
2022 24,242 $403K
2023 26,016 $272K
2024 24,117 $64K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,791 9,088 $636K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,026 5,955 $559K
99199 Unlisted special service, procedure or report 68,384 67,391 $227K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,751 1,591 $163K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,360 1,241 $134K
90460 Immunization administration through 18 years of age via any route, first or only component 2,969 2,611 $125K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 511 446 $51K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 524 465 $50K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,412 1,091 $26K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,310 1,249 $24K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 451 386 $21K
90472 Immunization administration, each additional vaccine (list separately) 630 610 $17K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,138 536 $16K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,600 1,440 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 158 93 $5K
36415 Collection of venous blood by venipuncture 2,168 1,934 $4K
96127 867 779 $4K
90686 842 792 $3K
90474 165 157 $3K
90651 104 100 $3K
90461 1,359 1,180 $2K
99460 24 24 $2K
99238 Hospital discharge day management, 30 minutes or less 25 24 $2K
90674 184 160 $2K
90670 1,283 1,156 $1K
0001A 63 19 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 17 12 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 88 68 $1K
0002A 20 18 $907.67
90734 125 106 $771.15
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 48 37 $671.49
99462 22 14 $593.44
99406 79 68 $453.68
96161 101 90 $392.11
87807 26 22 $374.38
90633 142 115 $279.49
90715 42 36 $170.00
81003 63 52 $133.85
92552 114 114 $22.96
99173 161 158 $8.04
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 1,132 823 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 274 199 $0.00
4040F 80 50 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,341 1,012 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 270 202 $0.00
G8482 Influenza immunization administered or previously received 393 275 $0.00
4004F 140 116 $0.00
90648 38 38 $0.00
G8484 Influenza immunization was not administered, reason not given 138 107 $0.00
90710 106 86 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 72 50 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 22 12 $0.00
90649 25 19 $0.00
90698 690 598 $0.00
G8432 Depression screening not documented, reason not given 850 610 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 435 315 $0.00
1036F 723 503 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 183 140 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 257 171 $0.00
90680 494 438 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 68 59 $0.00
G8732 No documentation of pain assessment, reason not given 1,145 823 $0.00
90688 20 20 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 301 216 $0.00
90744 148 133 $0.00
1101F 144 102 $0.00
3017F 361 269 $0.00
90696 12 12 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 16 13 $0.00