Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1225071293 · CHARLOTTE, NC 28210 · Family Medicine Physician · NPI assigned 06/14/2006

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

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

$944K
Total Medicaid Paid
70,151
Total Claims
66,625
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date06/14/2006

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 4,338 $100K
2019 3,772 $123K
2020 2,442 $119K
2021 21,726 $249K
2022 13,439 $185K
2023 11,679 $133K
2024 12,755 $36K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,996 7,666 $635K
99199 Unlisted special service, procedure or report 51,295 50,326 $205K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,413 1,083 $76K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,617 1,412 $10K
83036 Hemoglobin; glycosylated (A1C) 1,054 918 $6K
99442 139 121 $5K
99443 87 71 $4K
81003 968 834 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 13 12 $450.87
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 31 28 $339.60
96110 Developmental screening, with scoring and documentation, per standardized instrument 81 73 $288.66
J1040 Injection, methylprednisolone acetate, 80 mg 39 39 $188.58
82043 27 25 $99.96
82570 28 26 $89.32
92551 13 13 $9.42
1036F 475 433 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 247 229 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 232 207 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 185 175 $0.00
G8732 No documentation of pain assessment, reason not given 641 581 $0.00
G8432 Depression screening not documented, reason not given 525 480 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 81 77 $0.00
3017F 32 26 $0.00
1101F 13 13 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 723 657 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 711 653 $0.00
G8484 Influenza immunization was not administered, reason not given 248 222 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 131 123 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 56 52 $0.00
4040F 12 12 $0.00
G8482 Influenza immunization administered or previously received 26 26 $0.00
99173 12 12 $0.00