Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1235798992 · SUPPLY, NC 28462 · Pediatrics Physician · NPI assigned 06/06/2019

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

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

$1.16M
Total Medicaid Paid
58,965
Total Claims
52,346
Beneficiaries
40
Codes Billed
2019-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date06/06/2019

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
2019 105 $5K
2020 3,605 $124K
2021 10,647 $337K
2022 15,244 $348K
2023 17,570 $314K
2024 11,794 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,704 2,094 $253K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,183 2,450 $207K
90460 Immunization administration through 18 years of age via any route, first or only component 3,428 2,785 $170K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,611 1,278 $162K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,396 1,063 $138K
99199 Unlisted special service, procedure or report 28,260 27,861 $91K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,850 3,142 $39K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 519 430 $25K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 186 170 $13K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 112 79 $11K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 518 426 $9K
99460 83 81 $7K
96161 1,666 1,338 $6K
99238 Hospital discharge day management, 30 minutes or less 82 79 $6K
90461 2,252 1,826 $4K
83655 277 209 $4K
87807 311 239 $4K
96127 447 338 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 82 66 $2K
99222 Initial hospital care, per day, moderate complexity 16 12 $2K
D0145 Oral evaluation for a patient under three years of age 41 30 $2K
99239 Hospital discharge day management, more than 30 minutes 16 15 $1K
D1206 Topical application of fluoride varnish 41 30 $701.40
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 26 12 $376.84
88720 66 51 $274.68
92551 723 551 $232.96
85018 535 417 $161.52
99177 843 649 $130.34
36416 618 472 $96.60
90686 346 289 $35.80
99173 366 269 $24.76
90670 1,555 1,300 $0.00
90648 421 350 $0.00
90633 53 40 $0.00
84030 13 13 $0.00
90723 293 241 $0.00
90698 768 638 $0.00
90674 63 44 $0.00
90680 934 769 $0.00
90744 261 200 $0.00