Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1336181452 · CHARLOTTE, NC 28262 · Sports Medicine (Family Medicine) Physician · NPI assigned 06/12/2006

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

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

$1.87M
Total Medicaid Paid
81,428
Total Claims
75,020
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date06/12/2006

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
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 $1.82M
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 3,362 $132K
2019 4,615 $211K
2020 2,235 $130K
2021 12,391 $300K
2022 22,580 $420K
2023 20,646 $488K
2024 15,599 $193K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,729 6,190 $519K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,639 7,087 $471K
99051 7,399 6,421 $173K
99199 Unlisted special service, procedure or report 43,963 43,034 $155K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,212 2,023 $132K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,176 1,927 $98K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,767 2,528 $78K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,007 840 $78K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 642 584 $72K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,617 2,835 $65K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,252 630 $17K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 553 531 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 94 66 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 49 30 $2K
99215 Prolong outpt/office vis 13 12 $1K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 42 31 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 62 56 $400.06
87807 26 26 $343.36
96127 86 85 $325.09
83036 Hemoglobin; glycosylated (A1C) 54 48 $315.54
81003 14 12 $14.77
99173 32 24 $9.14