Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1265101729 · OAK RIDGE, NC 27310 · 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

$798K
Total Medicaid Paid
27,107
Total Claims
22,893
Beneficiaries
26
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 9,883 $440K
2023 9,785 $338K
2024 7,439 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,596 2,684 $343K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,880 2,167 $185K
90460 Immunization administration through 18 years of age via any route, first or only component 1,818 1,378 $83K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 350 275 $34K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 307 223 $29K
99199 Unlisted special service, procedure or report 10,123 10,021 $27K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 180 138 $18K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,615 1,231 $16K
96127 2,923 2,248 $14K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 194 150 $12K
99215 Prolong outpt/office vis 70 51 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 123 95 $6K
D0145 Oral evaluation for a patient under three years of age 147 117 $5K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 149 113 $4K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 224 174 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 31 25 $4K
D1206 Topical application of fluoride varnish 147 117 $2K
90461 796 584 $2K
92551 534 396 $123.28
90674 425 335 $115.82
96161 17 14 $65.01
99173 254 189 $22.72
90670 110 90 $0.00
90648 12 12 $0.00
90680 27 24 $0.00
90686 55 42 $0.00