Physician
Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $933K by Medicaid between Jan 2018 and Oct 2023, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
33aNPI1366409492assigned 05/01/2006
33bProvider typePediatric Neurodevelopmental Disabilities Physician
28Total paid$933K
24GClaims9,773
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2023
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,727 | $146K | |
| 2019 | 1,170 | $111K | |
| 2020 | 1,099 | $101K | |
| 2021 | 657 | $64K | |
| 2022 | 2,879 | $297K | |
| 2023 | 2,241 | $215K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 4,813 | 4,265 | $375K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 20% | 1,406 | 1,145 | $185K |
| 99245 | 11% | 568 | 543 | $101K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.0% | 688 | 605 | $65K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.6% | 487 | 478 | $61K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 1,049 | 1,002 | $55K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 5.4% | 424 | 337 | $50K |
| 95819 | 1.5% | 105 | 84 | $14K | |
| 95720 | <1% | 45 | 28 | $7K | |
| 97802 | <1% | 75 | 72 | $5K | |
| 95812 | <1% | 26 | 26 | $5K | |
| 99205 | Prolong outpt/office vis | <1% | 28 | 26 | $4K |
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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.