Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1205222668 · THOMASVILLE, NC 27360 · Pain Medicine (Anesthesiology) Physician · NPI assigned 04/13/2015

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

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

$66K
Total Medicaid Paid
3,724
Total Claims
3,416
Beneficiaries
18
Codes Billed
2018-01
First Month
2023-07
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date04/13/2015

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 1,028 $17K
2019 1,051 $11K
2020 554 $9K
2021 561 $12K
2022 266 $10K
2023 264 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,709 1,567 $42K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 648 580 $22K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $680.61
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 21 12 $677.03
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 31 29 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 42 40 $0.00
3017F 86 76 $0.00
G8432 Depression screening not documented, reason not given 106 100 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 31 26 $0.00
1036F 64 57 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 14 12 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 257 242 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 328 310 $0.00
4004F 34 34 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 12 12 $0.00
G8509 Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given 198 186 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 88 82 $0.00
G8484 Influenza immunization was not administered, reason not given 43 39 $0.00