Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1467956847 · THOMASVILLE, NC 27360 · Obstetrics & Gynecology Physician · NPI assigned 03/21/2018

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

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

$446K
Total Medicaid Paid
12,930
Total Claims
9,706
Beneficiaries
27
Codes Billed
2019-01
First Month
2023-05
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date03/21/2018

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
2019 1,759 $76K
2020 1,790 $58K
2021 2,880 $76K
2022 4,758 $167K
2023 1,743 $69K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,748 1,436 $143K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 630 533 $66K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 883 727 $47K
76801 454 340 $42K
76818 346 159 $31K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 290 223 $22K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 227 184 $21K
81025 2,004 1,636 $14K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 258 241 $11K
59025 Fetal non-stress test 461 281 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 124 93 $9K
81002 3,476 2,249 $5K
J1050 Injection, medroxyprogesterone acetate, 1 mg 89 77 $4K
76830 Ultrasound, transvaginal 46 41 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 264 203 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 89 62 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 226 190 $3K
90715 60 52 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 89 72 $2K
76813 18 16 $2K
90674 38 29 $832.08
90686 43 40 $529.60
85018 59 55 $165.11
81003 220 204 $159.19
87210 26 25 $117.50
0500F 132 129 $0.00
0502F 630 409 $0.00