Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1467407494 · CHARLOTTE, NC 28211 · Pediatrics Physician · NPI assigned 05/25/2006

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

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

$2.35M
Total Medicaid Paid
131,515
Total Claims
121,987
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date05/25/2006

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 $2.30M
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
NOVANT HEALTH MEDICAL GROUP, LLC HUNTERSVILLE NC $1.20M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,571 $133K
2019 3,669 $181K
2020 5,044 $246K
2021 20,444 $535K
2022 37,493 $673K
2023 35,314 $516K
2024 25,980 $68K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,840 11,875 $944K
90460 Immunization administration through 18 years of age via any route, first or only component 8,086 6,701 $354K
99199 Unlisted special service, procedure or report 87,150 85,451 $282K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,447 2,181 $219K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,996 1,566 $180K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,523 1,291 $155K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 731 544 $60K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 459 361 $44K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,728 1,657 $33K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,831 2,354 $29K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,394 1,009 $25K
90472 Immunization administration, each additional vaccine (list separately) 350 338 $8K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 84 68 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 39 30 $4K
90461 2,835 2,355 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 113 87 $3K
90686 1,611 1,429 $1K
99051 12 12 $291.28
90674 734 587 $272.50
99177 513 423 $77.14
96127 16 14 $69.33
99173 31 26 $2.02
90670 838 685 $0.00
92552 30 24 $0.00
90648 259 204 $0.00
90633 50 40 $0.00
90680 279 240 $0.00
90723 120 97 $0.00
99000 172 134 $0.00
90698 215 179 $0.00
90744 15 12 $0.00
90651 14 13 $0.00