Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1336799527 · WINSTON SALEM, NC 27103 · Maternal & Fetal Medicine Physician · NPI assigned 09/19/2019

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

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

$1.59M
Total Medicaid Paid
29,892
Total Claims
18,790
Beneficiaries
19
Codes Billed
2019-09
First Month
2023-05
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date09/19/2019

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
2019 1,651 $37K
2020 3,854 $144K
2021 6,796 $375K
2022 11,978 $704K
2023 5,613 $330K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 6,027 4,218 $387K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,895 2,259 $320K
76819 Fetal biophysical profile; without non-stress testing 5,518 2,770 $291K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 3,584 2,009 $180K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,700 2,884 $137K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,991 2,126 $130K
76820 2,458 1,192 $66K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 570 462 $37K
99215 Prolong outpt/office vis 91 74 $10K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 128 85 $6K
76801 73 59 $6K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 96 68 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 93 62 $5K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 45 25 $3K
99242 45 28 $3K
76818 71 27 $2K
99199 Unlisted special service, procedure or report 275 275 $1K
59025 Fetal non-stress test 15 12 $442.68
81002 217 155 $364.03