Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1275789588 · CHARLOTTE, NC 28278 · Pediatrics Physician · NPI assigned 08/18/2008

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

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

$1.66M
Total Medicaid Paid
94,538
Total Claims
87,870
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date08/18/2008

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 $1.33M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $1.29M
NOVANT HEALTH MEDICAL GROUP, LLC HUNTERSVILLE NC $1.20M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,945 $203K
2019 5,905 $226K
2020 5,607 $197K
2021 12,380 $315K
2022 24,701 $387K
2023 20,536 $287K
2024 18,464 $49K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,669 7,255 $554K
90460 Immunization administration through 18 years of age via any route, first or only component 5,557 4,702 $257K
99199 Unlisted special service, procedure or report 52,770 51,839 $178K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,815 1,582 $174K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,482 1,382 $135K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,326 1,120 $124K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 882 784 $85K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,435 4,728 $53K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,577 1,495 $30K
90472 Immunization administration, each additional vaccine (list separately) 793 752 $27K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 143 135 $9K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 263 219 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 391 194 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 112 89 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 48 38 $4K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 179 140 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 181 173 $2K
90461 2,358 1,993 $2K
D0145 Oral evaluation for a patient under three years of age 62 55 $2K
92552 2,545 2,256 $2K
90686 1,707 1,520 $1K
D1206 Topical application of fluoride varnish 62 55 $987.09
96161 115 93 $423.63
99177 3,287 2,918 $259.98
90474 12 12 $245.40
83655 36 24 $179.16
96127 47 40 $169.68
90674 423 331 $117.23
85018 47 41 $21.79
36416 179 136 $19.32
90648 121 98 $0.00
90670 1,039 906 $0.00
90633 90 77 $0.00
90710 13 13 $0.00
90698 306 274 $0.00
90680 252 229 $0.00
90744 56 51 $0.00
92551 88 64 $0.00
99174 26 18 $0.00
90723 31 27 $0.00
90647 13 12 $0.00