Medicaid Provider Spending

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

THE PRESBYTERIAN HOSPITAL

NPI: 1376870832 · CHARLOTTE, NC 28207 · Internal Medicine Physician · NPI assigned 11/04/2009

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

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

$156K
Total Medicaid Paid
13,695
Total Claims
12,974
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date11/04/2009

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 1,437 $18K
2019 1,012 $17K
2020 231 $11K
2021 2,092 $39K
2022 2,982 $27K
2023 2,825 $33K
2024 3,116 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,925 2,554 $116K
99199 Unlisted special service, procedure or report 9,264 8,974 $35K
99215 Prolong outpt/office vis 56 55 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35 28 $1K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 463 444 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 333 318 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 14 13 $0.00
G8484 Influenza immunization was not administered, reason not given 14 14 $0.00
G8732 No documentation of pain assessment, reason not given 190 186 $0.00
G8432 Depression screening not documented, reason not given 173 168 $0.00
1036F 112 109 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 61 60 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 41 38 $0.00
3017F 14 13 $0.00