Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Kernersville › NPI 1275911612
Physician

Novant Health Medical Group, LLC

Novant Health Medical Group, LLC was paid $74K by Medicaid between Feb 2018 and Oct 2023, across 11 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 43% of everything it billed.

33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
KERNERSVILLE, NC 27284
33aNPI1275911612assigned 05/18/2015
33bProvider typeNeurology Physician
28Total paid$74K
24GClaims1,084
24DCodes billed11
24AFirst – last monthFeb 2018 – Oct 2023
Compared with peers

Next to other Neurology Physician providers in North Carolina

Rank by total paid#41 of 86
Median peer was paid$55K
This provider vs. median1.3×

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
2018125$9K
202097$8K
2021240$17K
2022160$10K
2023462$29K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 43% 517 439 $32K
95720 25% 174 89 $19K
95951 12% 64 31 $9K
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 8.5% 124 114 $6K
64615 4.8% 69 59 $4K
99205 Prolong outpt/office vis 3.6% 20 14 $3K
95816 2.6% 52 39 $2K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 16 12 $394.26
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 0% 16 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 16 12 $0.00
G8732 No documentation of pain assessment, reason not given 0% 16 12 $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.