Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1306303730 · LEXINGTON, NC 27295 · Orthopaedic Surgery Physician · NPI assigned 02/21/2019

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

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

$44K
Total Medicaid Paid
911
Total Claims
786
Beneficiaries
11
Codes Billed
2019-06
First Month
2023-08
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date02/21/2019

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 $1.66M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $1.33M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $1.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 230 $10K
2020 48 $3K
2021 120 $7K
2022 224 $9K
2023 289 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 280 241 $16K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 255 214 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 127 113 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 34 27 $4K
99215 Prolong outpt/office vis 41 38 $3K
20610 12 12 $291.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 94 80 $259.30
G8509 Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given 13 12 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 13 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 13 12 $0.00
99024 29 25 $0.00