Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1386019891 · WAXHAW, NC 28173 · Pediatric Adolescent Medicine Physician · NPI assigned 12/09/2015

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

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

$1.36M
Total Medicaid Paid
68,972
Total Claims
63,583
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date12/09/2015

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 3,993 $130K
2019 4,362 $188K
2020 4,018 $174K
2021 11,261 $325K
2022 13,271 $312K
2023 14,691 $185K
2024 17,376 $45K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,948 4,194 $469K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,811 4,743 $375K
99199 Unlisted special service, procedure or report 40,035 39,457 $128K
90460 Immunization administration through 18 years of age via any route, first or only component 2,138 1,789 $95K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,170 912 $56K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 424 375 $42K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 420 358 $37K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 310 262 $30K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,376 1,083 $26K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 680 545 $19K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,593 1,391 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 627 588 $12K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,226 1,069 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 752 341 $10K
90472 Immunization administration, each additional vaccine (list separately) 304 289 $10K
96127 1,888 1,563 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 564 522 $8K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 47 30 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 33 25 $3K
81003 992 898 $1K
90686 527 478 $985.95
90461 689 586 $824.74
92551 1,051 910 $392.23
99173 614 497 $70.45
99177 574 525 $29.26
90680 15 12 $0.00
90674 48 38 $0.00
90670 97 88 $0.00
90648 19 15 $0.00