Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1225707771 · KERNERSVILLE, NC 27284 · Pediatrics Physician · NPI assigned 09/08/2021

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

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

$2.97M
Total Medicaid Paid
113,944
Total Claims
95,976
Beneficiaries
41
Codes Billed
2022-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date09/08/2021

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 49,557 $1.72M
2023 41,255 $1.19M
2024 23,132 $61K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,077 7,279 $924K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,787 7,054 $612K
90460 Immunization administration through 18 years of age via any route, first or only component 5,444 4,042 $269K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,917 1,362 $194K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,773 1,199 $167K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,470 1,067 $140K
99199 Unlisted special service, procedure or report 50,129 49,669 $131K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,655 1,904 $130K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,887 1,418 $121K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,786 2,040 $81K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 575 401 $62K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,432 1,739 $46K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,601 3,394 $45K
96127 6,926 5,180 $34K
90461 3,053 2,220 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 101 71 $2K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 42 36 $2K
87807 94 68 $1K
96161 265 183 $999.88
87634 30 21 $930.49
85025 Blood count; complete (CBC), automated, and automated differential WBC count 85 52 $679.90
90674 1,156 858 $640.02
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 42 36 $567.51
92551 2,281 1,660 $448.78
81003 69 42 $150.47
85018 165 104 $72.03
99177 271 206 $69.16
99173 925 647 $60.80
90686 111 81 $54.60
36415 Collection of venous blood by venipuncture 19 13 $44.13
36416 211 138 $19.32
90670 1,058 739 $0.00
90648 579 408 $0.00
90710 145 101 $0.00
90734 34 25 $0.00
90633 54 36 $0.00
90680 293 205 $0.00
90698 59 45 $0.00
90723 228 150 $0.00
99000 97 70 $0.00
90744 18 13 $0.00