Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1356394308 · CORNELIUS, NC 28031 · Sports Medicine (Family Medicine) Physician · NPI assigned 05/19/2006

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

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

$1.95M
Total Medicaid Paid
243,438
Total Claims
235,289
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date05/19/2006

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 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 8,411 $385K
2019 5,497 $323K
2020 1,478 $98K
2021 21,119 $270K
2022 59,836 $335K
2023 64,740 $296K
2024 82,357 $241K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,400 10,951 $855K
99199 Unlisted special service, procedure or report 222,418 217,041 $786K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,093 4,394 $254K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 218 202 $15K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 824 407 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 509 484 $10K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 72 70 $4K
99051 281 255 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 67 64 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 33 24 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 131 119 $2K
90472 Immunization administration, each additional vaccine (list separately) 39 37 $1K
36415 Collection of venous blood by venipuncture 558 511 $820.80
96110 Developmental screening, with scoring and documentation, per standardized instrument 114 112 $787.28
96127 148 110 $633.82
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 33 24 $527.59
90686 218 214 $281.35
85025 Blood count; complete (CBC), automated, and automated differential WBC count 25 24 $181.07
92551 16 16 $4.00
99173 29 29 $3.00
92552 13 13 $1.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 53 50 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 79 74 $0.00
99000 15 14 $0.00
1036F 12 12 $0.00
G8732 No documentation of pain assessment, reason not given 40 38 $0.00