Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1205070984 · MATTHEWS, NC 28105 · Pediatric Adolescent Medicine Physician · NPI assigned 04/27/2009

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

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

$1.88M
Total Medicaid Paid
95,405
Total Claims
87,735
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date04/27/2009

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 5,344 $190K
2019 5,339 $259K
2020 4,684 $207K
2021 13,573 $358K
2022 27,898 $492K
2023 23,480 $332K
2024 15,087 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,970 4,969 $582K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,612 7,060 $557K
90460 Immunization administration through 18 years of age via any route, first or only component 5,528 4,646 $202K
99199 Unlisted special service, procedure or report 58,362 56,831 $191K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 674 594 $66K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 534 399 $53K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 468 360 $44K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,869 1,473 $36K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,742 1,672 $34K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 515 407 $25K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 603 482 $18K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 252 195 $16K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,258 1,021 $12K
90472 Immunization administration, each additional vaccine (list separately) 331 316 $9K
96127 1,802 1,518 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 64 50 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 240 120 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 347 300 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 220 213 $3K
90461 1,356 1,078 $2K
90686 1,501 1,347 $2K
D0145 Oral evaluation for a patient under three years of age 56 40 $2K
D1206 Topical application of fluoride varnish 56 40 $867.60
92552 616 570 $503.38
99173 1,476 1,293 $247.68
87081 30 28 $191.97
90674 262 205 $175.12
96161 30 24 $112.97
90670 204 164 $0.00
99000 227 171 $0.00
90698 164 124 $0.00
90744 15 12 $0.00
99174 21 13 $0.00