Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1184679359 · CHARLOTTE, NC 28277 · Pediatrics Physician · NPI assigned 05/24/2006

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

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

$784K
Total Medicaid Paid
64,640
Total Claims
60,940
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date05/24/2006

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 1,847 $63K
2019 2,176 $100K
2020 1,648 $55K
2021 9,546 $155K
2022 22,127 $226K
2023 15,195 $154K
2024 12,101 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,861 2,333 $240K
99199 Unlisted special service, procedure or report 49,621 48,444 $161K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,717 2,145 $153K
90460 Immunization administration through 18 years of age via any route, first or only component 2,707 2,248 $110K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 463 364 $43K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 222 188 $23K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,817 2,436 $21K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 710 682 $14K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 74 63 $5K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 193 129 $3K
90472 Immunization administration, each additional vaccine (list separately) 73 71 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 51 38 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 123 62 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 107 93 $1K
90461 483 410 $1K
90686 462 436 $551.20
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 14 12 $398.52
99051 15 14 $344.24
85025 Blood count; complete (CBC), automated, and automated differential WBC count 38 27 $294.00
85027 24 24 $196.62
81003 106 94 $187.85
87807 16 13 $169.56
92552 212 177 $102.97
96127 13 13 $53.52
90674 168 133 $40.90
99177 62 51 $5.32
85018 15 14 $2.92
90670 91 77 $0.00
90648 12 12 $0.00
99173 15 12 $0.00
36416 19 14 $0.00
90698 63 53 $0.00
90680 39 28 $0.00
99174 34 30 $0.00