Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1356699599 · MONROE, NC 28110 · Obstetrics & Gynecology Physician · NPI assigned 08/20/2012

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

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

$161K
Total Medicaid Paid
3,993
Total Claims
3,443
Beneficiaries
21
Codes Billed
2018-01
First Month
2023-03
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date08/20/2012

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 849 $25K
2019 686 $24K
2020 1,028 $40K
2021 1,075 $48K
2022 323 $21K
2023 32 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 787 686 $64K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 754 639 $42K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 126 107 $14K
76801 124 107 $10K
81025 1,315 1,133 $8K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 119 116 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 29 25 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 187 161 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 42 26 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 27 24 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16 13 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 124 116 $2K
76813 13 12 $1K
76830 Ultrasound, transvaginal 13 13 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg 76 76 $550.99
90715 15 12 $481.80
90674 15 15 $378.70
90686 14 14 $215.15
81003 136 110 $180.69
99000 22 12 $0.00
0500F 39 26 $0.00