Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP LLC

NPI: 1205884970 · BOLIVIA, NC 28422 · Obstetrics & Gynecology Physician · NPI assigned 05/05/2006

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

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

$609K
Total Medicaid Paid
11,791
Total Claims
9,789
Beneficiaries
23
Codes Billed
2018-01
First Month
2023-05
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (EDI MANAGER)
NPI Enumeration Date05/05/2006

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 2,617 $89K
2019 1,806 $90K
2020 1,643 $112K
2021 2,007 $115K
2022 2,846 $146K
2023 872 $57K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,205 2,676 $253K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,866 2,405 $164K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 673 582 $54K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 818 729 $39K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 24 24 $31K
J1050 Injection, medroxyprogesterone acetate, 1 mg 317 262 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 591 494 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 638 542 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 87 80 $8K
76801 77 70 $7K
59025 Fetal non-stress test 188 126 $5K
90715 155 118 $5K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 26 24 $3K
81025 443 399 $3K
90674 120 111 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 12 12 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 13 $1K
81003 546 424 $980.91
81002 858 599 $830.13
90686 62 57 $794.40
99401 34 18 $636.14
87210 13 12 $47.00
99024 24 12 $0.00