Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1396295465 · DENVER, NC 28037 · Pediatrics Physician · NPI assigned 10/12/2016

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

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

$1.13M
Total Medicaid Paid
67,885
Total Claims
60,999
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date10/12/2016

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 5,157 $127K
2019 1,964 $82K
2020 2,262 $91K
2021 6,527 $182K
2022 16,627 $330K
2023 18,948 $274K
2024 16,400 $42K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,827 2,888 $230K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,397 1,828 $202K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,062 1,640 $185K
90460 Immunization administration through 18 years of age via any route, first or only component 3,344 2,609 $139K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,196 957 $113K
99199 Unlisted special service, procedure or report 37,906 37,025 $111K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,946 3,229 $34K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 932 877 $18K
90472 Immunization administration, each additional vaccine (list separately) 621 602 $16K
D0145 Oral evaluation for a patient under three years of age 382 341 $14K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 157 126 $9K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 500 383 $8K
96127 1,821 1,366 $8K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 262 217 $7K
D1206 Topical application of fluoride varnish 382 341 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 97 80 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 51 47 $5K
96161 1,255 978 $4K
99215 Prolong outpt/office vis 45 26 $4K
90474 200 196 $4K
90461 1,765 1,333 $2K
99383 14 13 $1K
99381 13 13 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 75 72 $680.18
90686 489 445 $213.75
92551 170 160 $30.18
90674 219 161 $20.45
92552 97 78 $16.47
99173 269 237 $15.08
90670 1,335 1,085 $0.00
90648 303 245 $0.00
90633 74 66 $0.00
90744 177 162 $0.00
90723 154 123 $0.00
90698 608 473 $0.00
90680 740 577 $0.00