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 $321K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.

33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
HIGH POINT, NC 27265
33aNPI1275925539assigned 02/24/2015
28Total paid$321K
24GClaims28,790
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in North Carolina

Rank by total paid#349 of 960
Median peer was paid$135K
This provider vs. median2.4×

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$10K2018201920202021202220232024
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
2018626$21K
2019789$33K
2020746$36K
20212,484$68K
20225,895$85K
20237,694$46K
2024incomplete10,556$30K
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 45% 2,345 1,826 $143K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29% 1,905 1,432 $93K
99199 Unlisted special service, procedure or report 24% 22,883 22,605 $77K
36415 Collection of venous blood by venipuncture <1% 1,328 1,075 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 86 79 $1K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 14 13 $1K
90686 <1% 76 71 $829.49
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 18 12 $681.43
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 15 14 $439.20
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 27 13 $310.86
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 19 13 $190.96
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 14 13 $169.56
3 more codes
81003 <1% 32 $67.70
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 0% 14 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 14 $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.