Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Novant Health Medical Group, LLC

Novant Health Medical Group, LLC was paid $37K by Medicaid between Jan 2018 and Oct 2023, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.

33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
SALISBURY, NC 28144
33aNPI1275918138assigned 07/21/2015
33bProvider typeUrology Physician
28Total paid$37K
24GClaims2,115
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers

Next to other Urology Physician providers in North Carolina

Rank by total paid#28 of 69
Median peer was paid$15K
This provider vs. median2.5×

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$2.0K$4.0K2018201920202021202220232024
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
2018277$2K
2019192$678.51
202084$922.72
2021340$7K
2022391$12K
2023831$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 76% 874 714 $28K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 200 172 $4K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 6.2% 29 27 $2K
81000 2.1% 437 367 $772.08
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.4% 30 25 $523.24
51798 1.2% 54 48 $438.63
81002 <1% 225 196 $264.69
G8732 No documentation of pain assessment, reason not given 0% 24 24 $0.00
1036F 0% 12 12 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 42 36 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 99 90 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 0% 89 80 $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

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