Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Novant Health Medical Group, LLC

Novant Health Medical Group, LLC was paid $161K by Medicaid between Jan 2018 and Mar 2023, across 21 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 39% of everything it billed.

33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
MONROE, NC 28110
33aNPI1356699599assigned 08/20/2012
28Total paid$161K
24GClaims3,993
24DCodes billed21
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in North Carolina

Rank by total paid#63 of 189
Median peer was paid$47K
This provider vs. median3.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official WALTON, LEEA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018849$25K
2019686$24K
20201,028$40K
20211,075$48K
2022323$21K
202332$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 39% 787 686 $64K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 754 639 $42K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 8.5% 126 107 $14K
76801 6.4% 124 107 $10K
81025 5.3% 1,315 1,133 $8K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 3.3% 119 116 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.9% 29 25 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.8% 187 161 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1.7% 42 26 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1.2% 27 24 $2K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity <1% 16 13 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 124 116 $2K
9 more codes
76813 <1% 13 $1K
76830 Ultrasound, transvaginal <1% 13 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 76 $550.99
90715 <1% 15 $481.80
90674 <1% 15 $378.70
90686 <1% 14 $215.15
81003 <1% 136 $180.69
99000 0% 22 $0.00
0500F 0% 39 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialWALTON, LEEA (RCS MANAGER)
Same official

Other billing entities under WALTON, LEEA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.