Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1164781845 · MATTHEWS, NC 28104 · Family Medicine Physician · NPI assigned 05/15/2012

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

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

$354K
Total Medicaid Paid
35,938
Total Claims
34,758
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date05/15/2012

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 2,962 $70K
2019 1,853 $65K
2020 556 $29K
2021 2,520 $44K
2022 8,276 $69K
2023 8,508 $44K
2024 11,263 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,754 2,495 $141K
99199 Unlisted special service, procedure or report 29,045 28,480 $106K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,692 1,540 $99K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 116 103 $2K
99215 Prolong outpt/office vis 29 28 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 36 29 $952.82
83036 Hemoglobin; glycosylated (A1C) 83 83 $636.01
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 15 14 $621.90
90686 125 118 $436.98
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 29 13 $254.34
81003 132 128 $252.07
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 13 12 $237.42
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 13 $237.12
90674 13 12 $145.46
92551 49 47 $15.02
99173 79 77 $10.08
92552 15 15 $3.00
G8482 Influenza immunization administered or previously received 30 25 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 445 410 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 384 353 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 17 14 $0.00
G8484 Influenza immunization was not administered, reason not given 28 26 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 13 13 $0.00
1036F 101 91 $0.00
G8432 Depression screening not documented, reason not given 151 133 $0.00
G8732 No documentation of pain assessment, reason not given 472 433 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 31 26 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 13 13 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 14 14 $0.00