Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1467490102 · CHARLOTTE, NC 28210 · Pediatrics Physician · NPI assigned 06/03/2006

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

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

$5.75M
Total Medicaid Paid
266,027
Total Claims
244,797
Beneficiaries
61
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date06/03/2006

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 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
NOVANT HEALTH MEDICAL GROUP, LLC HUNTERSVILLE NC $1.20M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25,859 $771K
2019 22,721 $827K
2020 19,067 $723K
2021 39,586 $1.07M
2022 63,059 $1.32M
2023 55,686 $933K
2024 40,049 $108K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,187 13,382 $1.40M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,213 16,314 $1.22M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,132 4,645 $481K
90460 Immunization administration through 18 years of age via any route, first or only component 10,104 8,735 $474K
99199 Unlisted special service, procedure or report 117,744 115,465 $387K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,064 3,665 $380K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,159 3,627 $379K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,674 3,819 $227K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,529 1,279 $155K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4,905 4,046 $88K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,252 1,063 $80K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,134 3,906 $78K
96110 Developmental screening, with scoring and documentation, per standardized instrument 7,380 6,587 $75K
D0145 Oral evaluation for a patient under three years of age 1,849 1,701 $63K
90472 Immunization administration, each additional vaccine (list separately) 1,794 1,737 $60K
96127 10,347 9,162 $41K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,006 850 $30K
D1206 Topical application of fluoride varnish 1,849 1,701 $28K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,379 674 $19K
99051 517 465 $13K
80061 Lipid panel 768 672 $12K
90474 416 408 $8K
90651 403 346 $8K
90461 5,049 4,334 $7K
92552 8,987 8,041 $7K
0071A 95 68 $5K
0072A 84 63 $5K
85018 6,055 5,405 $4K
96160 1,017 840 $4K
90686 3,474 3,218 $3K
83655 420 251 $3K
96161 630 529 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 167 160 $2K
90734 193 165 $1K
99173 7,852 6,929 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 39 39 $617.41
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 13 $578.89
87807 39 30 $548.14
90674 814 659 $449.95
87081 65 63 $440.82
81003 162 152 $280.25
90620 30 26 $193.05
91307 225 162 $105.38
92551 196 159 $74.30
36415 Collection of venous blood by venipuncture 30 28 $66.98
90633 503 453 $65.74
90715 15 15 $44.55
36416 1,986 1,518 $32.20
99177 861 787 $29.26
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 39 39 $3.07
90670 2,917 2,617 $0.00
90648 575 455 $0.00
90685 56 54 $0.00
90710 25 24 $0.00
90700 14 12 $0.00
90723 352 270 $0.00
90680 1,381 1,232 $0.00
90698 1,276 1,188 $0.00
90744 456 442 $0.00
99000 93 72 $0.00
90696 37 36 $0.00