Physician
Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $1.88M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
MATTHEWS, NC 28105
MATTHEWS, NC 28105
33aNPI1205070984assigned 04/27/2009
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$1.88M
24GClaims95,405
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in North Carolina
Rank by total paid#12 of 20
Median peer was paid$4.16M
This provider vs. median0.5×
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 | 5,344 | $190K | |
| 2019 | 5,339 | $259K | |
| 2020 | 4,684 | $207K | |
| 2021 | 13,573 | $358K | |
| 2022 | 27,898 | $492K | |
| 2023 | 23,480 | $332K | |
| 2024incomplete | 15,087 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 31% | 5,970 | 4,969 | $582K |
| 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% | 8,612 | 7,060 | $557K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 5,528 | 4,646 | $202K |
| 99199 | Unlisted special service, procedure or report | 10% | 58,362 | 56,831 | $191K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.5% | 674 | 594 | $66K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.8% | 534 | 399 | $53K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.3% | 468 | 360 | $44K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.9% | 1,869 | 1,473 | $36K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.8% | 1,742 | 1,672 | $34K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.3% | 515 | 407 | $25K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 603 | 482 | $18K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 252 | 195 | $16K |
21 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,258 | $12K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 331 | $9K |
| 96127 | <1% | 1,802 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 64 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 240 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 347 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 220 | $3K |
| 90461 | <1% | 1,356 | $2K | |
| 90686 | <1% | 1,501 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 56 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 56 | $867.60 |
| 92552 | <1% | 616 | $503.38 | |
| 99173 | <1% | 1,476 | $247.68 | |
| 87081 | <1% | 30 | $191.97 | |
| 90674 | <1% | 262 | $175.12 | |
| 96161 | <1% | 30 | $112.97 | |
| 90670 | 0% | 204 | $0.00 | |
| 99000 | 0% | 227 | $0.00 | |
| 90698 | 0% | 164 | $0.00 | |
| 90744 | 0% | 15 | $0.00 | |
| 99174 | 0% | 21 | $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.