Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1215606603 · WINSTON SALEM, NC 27106 · Pediatrics Physician · NPI assigned 09/09/2021

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

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

$1.23M
Total Medicaid Paid
40,766
Total Claims
32,826
Beneficiaries
36
Codes Billed
2022-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date09/09/2021

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
2022 18,486 $717K
2023 14,951 $498K
2024 7,329 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,746 2,812 $371K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,911 2,894 $264K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,933 2,222 $144K
90460 Immunization administration through 18 years of age via any route, first or only component 1,974 1,518 $91K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 697 518 $71K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 499 372 $48K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,647 2,012 $45K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 434 351 $45K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,647 1,033 $37K
99199 Unlisted special service, procedure or report 12,384 12,233 $33K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 289 228 $31K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,271 982 $17K
D0145 Oral evaluation for a patient under three years of age 305 242 $12K
96110 Developmental screening, with scoring and documentation, per standardized instrument 671 516 $6K
D1206 Topical application of fluoride varnish 305 242 $5K
96127 768 596 $5K
90461 911 692 $3K
87807 184 137 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 87 68 $2K
0071A 12 12 $803.05
36415 Collection of venous blood by venipuncture 262 201 $695.68
99051 18 12 $432.64
96161 105 79 $363.63
85025 Blood count; complete (CBC), automated, and automated differential WBC count 33 27 $323.52
90674 502 382 $321.45
92551 937 747 $254.88
99173 593 468 $69.37
99177 147 118 $45.22
90686 33 28 $36.52
36416 39 27 $16.10
90670 191 138 $0.00
90734 36 26 $0.00
99000 1,056 791 $0.00
90680 36 25 $0.00
90698 70 47 $0.00
91307 33 30 $0.00