Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Novant Health Medical Group, LLC

Novant Health Medical Group, LLC was paid $297K by Medicaid between Feb 2018 and Nov 2023, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.

33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
WINSTON SALEM, NC 27103
33aNPI1235666231assigned 05/22/2017
33bProvider typePsychiatry Physician
28Total paid$297K
24GClaims6,437
24DCodes billed12
24AFirst – last monthFeb 2018 – Nov 2023
Compared with peers

Next to other Psychiatry Physician providers in North Carolina

Rank by total paid#66 of 165
Median peer was paid$187K
This provider vs. median1.6×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018730$16K
20191,097$42K
2020728$39K
20211,175$47K
20221,094$66K
20231,613$87K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 61% 2,903 2,417 $181K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 19% 1,619 1,108 $55K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 7.1% 469 414 $21K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.5% 507 461 $19K
90792 Psychiatric diagnostic evaluation with medical services 4.1% 115 102 $12K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 2.5% 241 217 $7K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 15 13 $1K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 188 156 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 0% 135 112 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 0% 56 44 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 12 12 $0.00
G8732 No documentation of pain assessment, reason not given 0% 177 145 $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)
Same official

Other billing entities under WALTON, LEEA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.