Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1326597493 · MATTHEWS, NC 28105 · Psychiatry Physician · NPI assigned 09/29/2016

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

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

$576K
Total Medicaid Paid
8,435
Total Claims
6,731
Beneficiaries
14
Codes Billed
2018-02
First Month
2023-11
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date09/29/2016

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 1,301 $58K
2019 1,072 $64K
2020 871 $62K
2021 1,549 $110K
2022 1,754 $138K
2023 1,888 $144K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,411 4,587 $424K
90837 Psychotherapy, 53 minutes with patient 1,417 914 $96K
90834 Psychotherapy, 45 minutes with patient 403 283 $20K
90847 Family psychotherapy with the patient present, 50 minutes 202 157 $13K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 243 221 $8K
90791 Psychiatric diagnostic evaluation 99 71 $8K
90792 Psychiatric diagnostic evaluation with medical services 25 24 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 85 69 $3K
99199 Unlisted special service, procedure or report 32 32 $165.00
G8732 No documentation of pain assessment, reason not given 150 109 $0.00
1036F 69 51 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 54 37 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 110 79 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 135 97 $0.00