Physician
Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $2.97M by Medicaid between Jan 2022 and Dec 2024, across 41 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
KERNERSVILLE, NC 27284
KERNERSVILLE, NC 27284
33aNPI1225707771assigned 09/08/2021
33bProvider typePediatrics Physician
28Total paid$2.97M
24GClaims113,944
24DCodes billed41
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#123 of 433
Median peer was paid$942K
This provider vs. median3.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official WALTON, LEEA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 49,557 | $1.72M | |
| 2023 | 41,255 | $1.19M | |
| 2024incomplete | 23,132 | $61K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 31% | 10,077 | 7,279 | $924K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 9,787 | 7,054 | $612K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.0% | 5,444 | 4,042 | $269K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.5% | 1,917 | 1,362 | $194K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.6% | 1,773 | 1,199 | $167K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.7% | 1,470 | 1,067 | $140K |
| 99199 | Unlisted special service, procedure or report | 4.4% | 50,129 | 49,669 | $131K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.4% | 2,655 | 1,904 | $130K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 4.1% | 1,887 | 1,418 | $121K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.7% | 2,786 | 2,040 | $81K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 575 | 401 | $62K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.6% | 2,432 | 1,739 | $46K |
29 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 4,601 | $45K |
| 96127 | 1.1% | 6,926 | $34K | |
| 90461 | <1% | 3,053 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 101 | $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 | <1% | 42 | $2K |
| 87807 | <1% | 94 | $1K | |
| 96161 | <1% | 265 | $999.88 | |
| 87634 | <1% | 30 | $930.49 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 85 | $679.90 |
| 90674 | <1% | 1,156 | $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 | <1% | 42 | $567.51 |
| 92551 | <1% | 2,281 | $448.78 | |
| 81003 | <1% | 69 | $150.47 | |
| 85018 | <1% | 165 | $72.03 | |
| 99177 | <1% | 271 | $69.16 | |
| 99173 | <1% | 925 | $60.80 | |
| 90686 | <1% | 111 | $54.60 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 19 | $44.13 |
| 36416 | <1% | 211 | $19.32 | |
| 90670 | 0% | 1,058 | $0.00 | |
| 90648 | 0% | 579 | $0.00 | |
| 90710 | 0% | 145 | $0.00 | |
| 90734 | 0% | 34 | $0.00 | |
| 90633 | 0% | 54 | $0.00 | |
| 90680 | 0% | 293 | $0.00 | |
| 90698 | 0% | 59 | $0.00 | |
| 90723 | 0% | 228 | $0.00 | |
| 99000 | 0% | 97 | $0.00 | |
| 90744 | 0% | 18 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWALTON, LEEA (RCS MANAGER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.