Physician
Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $2.10M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
SALISBURY, NC 28144
SALISBURY, NC 28144
33aNPI1154579522assigned 08/28/2008
33bProvider typeFamily Medicine Physician
28Total paid$2.10M
24GClaims118,025
24DCodes billed69
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#57 of 960
Median peer was paid$135K
This provider vs. median16×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official WALTON, LEEA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 24,117 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 10,791 | 9,088 | $636K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 27% | 7,026 | 5,955 | $559K |
| 99199 | Unlisted special service, procedure or report | 11% | 68,384 | 67,391 | $227K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.7% | 1,751 | 1,591 | $163K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.4% | 1,360 | 1,241 | $134K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.0% | 2,969 | 2,611 | $125K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 511 | 446 | $51K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 524 | 465 | $50K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.2% | 1,412 | 1,091 | $26K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 1,310 | 1,249 | $24K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.0% | 451 | 386 | $21K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 630 | 610 | $17K |
57 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,138 | $16K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,600 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 158 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,168 | $4K |
| 96127 | <1% | 867 | $4K | |
| 90686 | <1% | 842 | $3K | |
| 90474 | <1% | 165 | $3K | |
| 90651 | <1% | 104 | $3K | |
| 90461 | <1% | 1,359 | $2K | |
| 99460 | <1% | 24 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 25 | $2K |
| 90674 | <1% | 184 | $2K | |
| 90670 | <1% | 1,283 | $1K | |
| 0001A | <1% | 63 | $1K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 17 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 88 | $1K |
| 0002A | <1% | 20 | $907.67 | |
| 90734 | <1% | 125 | $771.15 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 48 | $671.49 |
| 99462 | <1% | 22 | $593.44 | |
| 99406 | <1% | 79 | $453.68 | |
| 96161 | <1% | 101 | $392.11 | |
| 87807 | <1% | 26 | $374.38 | |
| 90633 | <1% | 142 | $279.49 | |
| 90715 | <1% | 42 | $170.00 | |
| 81003 | <1% | 63 | $133.85 | |
| 92552 | <1% | 114 | $22.96 | |
| 99173 | <1% | 161 | $8.04 | |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 1,132 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 274 | $0.00 |
| 4040F | 0% | 80 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,341 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 270 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 393 | $0.00 |
| 4004F | 0% | 140 | $0.00 | |
| 90648 | 0% | 38 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 138 | $0.00 |
| 90710 | 0% | 106 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 72 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 22 | $0.00 |
| 90649 | 0% | 25 | $0.00 | |
| 90698 | 0% | 690 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 850 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 435 | $0.00 |
| 1036F | 0% | 723 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 183 | $0.00 |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 257 | $0.00 |
| 90680 | 0% | 494 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 68 | $0.00 |
| G8732 | No documentation of pain assessment, reason not given | 0% | 1,145 | $0.00 |
| 90688 | 0% | 20 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 301 | $0.00 |
| 90744 | 0% | 148 | $0.00 | |
| 1101F | 0% | 144 | $0.00 | |
| 3017F | 0% | 361 | $0.00 | |
| 90696 | 0% | 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) | 0% | 16 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWALTON, LEEA (RCS MANAGER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.