Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1457003386 · WINSTON SALEM, NC 27107 · Pediatrics Physician · NPI assigned 01/21/2022

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

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

$1.85M
Total Medicaid Paid
59,845
Total Claims
48,909
Beneficiaries
45
Codes Billed
2022-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date01/21/2022

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
2022 22,645 $956K
2023 23,748 $854K
2024 13,452 $36K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,974 2,930 $393K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,203 3,788 $353K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,975 2,954 $203K
90460 Immunization administration through 18 years of age via any route, first or only component 2,759 2,077 $136K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,821 1,369 $120K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,165 868 $118K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,090 831 $103K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 807 613 $84K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 711 544 $82K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,220 1,658 $67K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,254 2,426 $63K
99199 Unlisted special service, procedure or report 17,745 17,542 $47K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,105 1,583 $21K
96127 2,269 1,707 $10K
D0145 Oral evaluation for a patient under three years of age 233 180 $9K
90791 Psychiatric diagnostic evaluation 76 53 $7K
90834 Psychotherapy, 45 minutes with patient 97 59 $6K
90461 1,620 1,216 $4K
D1206 Topical application of fluoride varnish 233 180 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 285 217 $3K
90837 Psychotherapy, 53 minutes with patient 30 18 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 100 74 $2K
96161 345 249 $1K
80061 Lipid panel 78 58 $1K
0072A 14 12 $925.60
87807 60 45 $824.17
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 46 17 $664.54
81003 289 228 $575.11
90670 898 669 $489.06
90674 889 680 $264.72
92551 1,810 1,365 $255.44
99173 1,608 1,212 $120.78
99177 515 376 $106.40
90680 345 253 $97.11
90723 174 138 $93.38
85018 30 24 $23.90
90648 226 181 $12.29
90633 132 96 $0.00
90734 39 31 $0.00
91307 63 44 $0.00
90698 277 185 $0.00
90651 96 70 $0.00
99000 68 41 $0.00
90744 54 33 $0.00
91305 17 15 $0.00