Physician
Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $684K by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
SALISBURY, NC 28144
SALISBURY, NC 28144
33aNPI1316371651assigned 08/22/2013
33bProvider typeFamily Medicine Physician
28Total paid$684K
24GClaims44,494
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#192 of 960
Median peer was paid$135K
This provider vs. median5.1×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,627 | $107K | |
| 2019 | 2,450 | $113K | |
| 2020 | 1,478 | $68K | |
| 2021 | 4,982 | $134K | |
| 2022 | 10,710 | $150K | |
| 2023 | 10,298 | $82K | |
| 2024incomplete | 10,949 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 5,048 | 4,323 | $282K |
| 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 | 33% | 3,616 | 3,163 | $223K |
| 99199 | Unlisted special service, procedure or report | 16% | 31,263 | 30,655 | $107K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.4% | 845 | 785 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 153 | 147 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 80 | 75 | $9K |
| 99441 | 1.1% | 236 | 191 | $7K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 239 | 229 | $7K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 230 | 179 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 67 | 50 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 26 | 26 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 170 | 84 | $2K |
20 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 215 | $2K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 32 | $2K |
| 90686 | <1% | 285 | $957.46 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 36 | $818.52 |
| 90674 | <1% | 53 | $700.85 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $614.42 |
| 90734 | <1% | 29 | $331.84 | |
| 92552 | <1% | 190 | $42.30 | |
| 92551 | <1% | 45 | $34.36 | |
| 99173 | <1% | 503 | $29.14 | |
| G8732 | No documentation of pain assessment, reason not given | 0% | 236 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 134 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 14 | $0.00 |
| 1036F | 0% | 50 | $0.00 | |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 13 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 25 | $0.00 |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 254 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 311 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 69 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 13 | $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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.