Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1447496120 · SALISBURY, NC 28147 · Sleep Medicine (Psychiatry & Neurology) Physician · NPI assigned 12/30/2008

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

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

$76K
Total Medicaid Paid
4,063
Total Claims
3,890
Beneficiaries
21
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date12/30/2008

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 1,351 $21K
2019 1,363 $15K
2020 575 $13K
2021 382 $10K
2022 30 $1K
2023 362 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 800 754 $35K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 813 767 $26K
99205 Prolong outpt/office vis 41 40 $4K
99215 Prolong outpt/office vis 66 64 $3K
95810 Polysomnography; sleep staging with 4 or more additional parameters 38 38 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 29 27 $2K
95811 13 13 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $530.95
G9903 Patient screened for tobacco use and identified as a tobacco non-user 27 27 $0.00
G8732 No documentation of pain assessment, reason not given 469 455 $0.00
G8432 Depression screening not documented, reason not given 149 141 $0.00
1036F 195 187 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 38 38 $0.00
3017F 12 12 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 13 13 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 26 26 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 526 511 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 609 587 $0.00
G8484 Influenza immunization was not administered, reason not given 149 141 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 25 24 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 13 13 $0.00