Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1316371651 · SALISBURY, NC 28144 · Family Medicine Physician · NPI assigned 08/22/2013

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

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

$684K
Total Medicaid Paid
44,494
Total Claims
42,279
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date08/22/2013

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
2018 3,627 $107K
2019 2,450 $113K
2020 1,478 $68K
2021 4,982 $134K
2022 10,710 $150K
2023 10,298 $82K
2024 10,949 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,048 4,323 $282K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,616 3,163 $223K
99199 Unlisted special service, procedure or report 31,263 30,655 $107K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 845 785 $16K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 153 147 $14K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 80 75 $9K
99441 236 191 $7K
90472 Immunization administration, each additional vaccine (list separately) 239 229 $7K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 230 179 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 67 50 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 26 26 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 170 84 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 215 208 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 32 31 $2K
90686 285 273 $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 36 30 $818.52
90674 53 42 $700.85
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 13 $614.42
90734 29 24 $331.84
92552 190 187 $42.30
92551 45 34 $34.36
99173 503 482 $29.14
G8732 No documentation of pain assessment, reason not given 236 220 $0.00
G8432 Depression screening not documented, reason not given 134 129 $0.00
G0008 Administration of influenza virus vaccine 14 13 $0.00
1036F 50 49 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 13 12 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 25 24 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 254 234 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 311 289 $0.00
G8484 Influenza immunization was not administered, reason not given 69 66 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 13 12 $0.00