Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1326094350 · CHARLOTTE, NC 28204 · Pediatrics Physician · NPI assigned 05/25/2006

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

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

$3.45M
Total Medicaid Paid
168,274
Total Claims
156,772
Beneficiaries
52
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date05/25/2006

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
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
NOVANT HEALTH MEDICAL GROUP, LLC HUNTERSVILLE NC $1.20M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,018 $415K
2019 10,561 $478K
2020 9,116 $428K
2021 31,059 $706K
2022 38,880 $801K
2023 35,978 $548K
2024 29,662 $78K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,447 12,368 $924K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,570 5,893 $631K
90460 Immunization administration through 18 years of age via any route, first or only component 8,304 7,128 $386K
99199 Unlisted special service, procedure or report 93,511 91,819 $323K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,321 2,828 $302K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,479 2,197 $243K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,601 2,104 $127K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,161 1,018 $114K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,859 3,656 $76K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,096 925 $70K
90472 Immunization administration, each additional vaccine (list separately) 1,954 1,891 $59K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,904 2,388 $53K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,601 3,221 $37K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 824 662 $33K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 219 175 $23K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 570 459 $17K
90474 300 290 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 417 211 $6K
90461 3,590 2,998 $5K
99051 167 131 $4K
90686 3,282 2,980 $3K
96161 470 371 $2K
0071A 38 26 $2K
90651 44 42 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 86 81 $1K
80061 Lipid panel 72 54 $1K
0002A 14 12 $774.52
83655 79 42 $647.53
99441 15 12 $520.51
90674 935 772 $496.18
99173 4,075 3,694 $440.66
92551 1,109 1,025 $348.93
85018 723 620 $296.84
90670 1,986 1,709 $235.49
96127 50 45 $207.83
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12 12 $114.96
81003 27 26 $49.86
99177 213 176 $45.22
90648 190 145 $0.00
90700 13 13 $0.00
90633 179 168 $0.00
90707 12 12 $0.00
92552 55 49 $0.00
90734 14 12 $0.00
99000 596 475 $0.00
90680 789 702 $0.00
90698 975 859 $0.00
91307 60 41 $0.00
90744 169 145 $0.00
90723 32 26 $0.00
90688 53 52 $0.00
90716 12 12 $0.00