Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1356396915 · CHARLOTTE, NC 28203 · Pediatrics Physician · NPI assigned 05/23/2006

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

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

$1.29M
Total Medicaid Paid
85,389
Total Claims
79,155
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date05/23/2006

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 $1.87M
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 HUNTERSVILLE NC $1.20M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,486 $92K
2019 3,043 $134K
2020 2,944 $111K
2021 15,391 $321K
2022 27,849 $380K
2023 19,241 $208K
2024 14,435 $39K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,861 4,534 $356K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,631 2,299 $239K
99199 Unlisted special service, procedure or report 56,163 54,628 $186K
90460 Immunization administration through 18 years of age via any route, first or only component 3,434 2,944 $165K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,125 976 $102K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 591 516 $59K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,292 924 $59K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,445 1,005 $23K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,419 2,067 $23K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,114 1,063 $21K
96127 3,696 3,158 $16K
90472 Immunization administration, each additional vaccine (list separately) 332 323 $11K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 71 64 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 51 41 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 58 43 $4K
D0145 Oral evaluation for a patient under three years of age 83 77 $3K
90461 1,014 895 $2K
D1206 Topical application of fluoride varnish 83 77 $1K
90686 1,169 1,070 $980.06
90474 28 27 $490.80
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 15 14 $462.02
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 32 15 $357.45
92552 244 202 $354.64
85018 290 252 $137.75
92551 496 448 $122.68
99173 540 485 $70.09
96161 13 13 $51.09
99177 160 131 $18.62
90670 421 383 $0.00
90648 28 26 $0.00
90698 290 274 $0.00
90674 73 59 $0.00
90744 27 27 $0.00
90680 86 81 $0.00
36416 14 14 $0.00