Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Huntersville › NPI 1275586380
Physician

Novant Health Medical Group, LLC

Novant Health Medical Group, LLC was paid $285K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.

33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
HUNTERSVILLE, NC 28078
33aNPI1275586380assigned 05/18/2006
28Total paid$285K
24GClaims27,826
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in North Carolina

Rank by total paid#185 of 616
Median peer was paid$74K
This provider vs. median3.8×

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$10K$15K2018201920202021202220232024
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
2018899$32K
2019583$26K
2020415$13K
20213,567$53K
20227,950$86K
20237,019$54K
2024incomplete7,393$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 47% 2,624 1,938 $134K
99199 Unlisted special service, procedure or report 25% 22,657 22,168 $71K
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 16% 567 486 $45K
90460 Immunization administration through 18 years of age via any route, first or only component 8.4% 748 553 $24K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.5% 216 205 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 130 64 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 153 125 $1K
96127 <1% 295 207 $1K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 47 28 $1K
90472 Immunization administration, each additional vaccine (list separately) <1% 24 24 $633.95
90686 <1% 235 220 $595.33
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 25 25 $310.86
4 more codes
96161 <1% 15 $57.10
90461 <1% 65 $15.71
99173 0% 12 $0.00
90648 0% 13 $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

Full network →

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