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 $90K by Medicaid between May 2018 and Oct 2023, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.

33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
WINSTON SALEM, NC 27103
33aNPI1376092056assigned 09/23/2016
28Total paid$90K
24GClaims2,281
24DCodes billed8
24AFirst – last monthMay 2018 – Oct 2023
Compared with peers

Next to other Internal Medicine Physician providers in North Carolina

Rank by total paid#296 of 616
Median peer was paid$74K
This provider vs. median1.2×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
201842$2K
2019272$12K
2020195$8K
2021652$27K
2022449$23K
2023671$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 81% 1,471 1,267 $72K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 11% 138 121 $10K
83036 Hemoglobin; glycosylated (A1C) 3.9% 501 436 $4K
99205 Prolong outpt/office vis 3.4% 29 28 $3K
95251 1.3% 82 69 $1K
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 0% 24 24 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 12 12 $0.00
G8732 No documentation of pain assessment, reason not given 0% 24 24 $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.