Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP LLC

NPI: 1477276699 · HUNTERSVILLE, NC 28078 · Obstetrics & Gynecology Physician · NPI assigned 09/22/2022

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

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

$3.12M
Total Medicaid Paid
76,891
Total Claims
66,287
Beneficiaries
51
Codes Billed
2023-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date09/22/2022

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
2023 21,699 $1.08M
2024 55,192 $2.04M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,931 12,198 $743K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,399 6,629 $586K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 5,572 4,811 $432K
76819 Fetal biophysical profile; without non-stress testing 3,637 2,196 $220K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,244 1,143 $165K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,284 1,653 $133K
76801 929 833 $84K
76818 926 580 $75K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 1,405 1,306 $66K
99459 5,331 4,892 $60K
76820 1,631 889 $57K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 558 503 $57K
76830 Ultrasound, transvaginal 591 570 $49K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,461 1,211 $45K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 510 473 $43K
J1050 Injection, medroxyprogesterone acetate, 1 mg 788 726 $34K
81025 4,588 4,151 $32K
97803 487 325 $30K
96127 6,641 6,285 $26K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 356 283 $25K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 17 17 $24K
97802 216 181 $18K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 975 888 $15K
87660 647 601 $13K
87510 645 599 $13K
87480 645 599 $13K
99215 Prolong outpt/office vis 108 99 $10K
59025 Fetal non-stress test 428 343 $9K
59426 16 13 $8K
81002 3,727 3,049 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 81 77 $6K
90832 Psychotherapy, 30 minutes with patient 101 57 $4K
99493 30 25 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 171 150 $3K
81003 1,859 1,626 $2K
99244 Office or other outpatient consultation, moderate to high complexity 15 12 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 169 145 $2K
99245 13 12 $2K
99494 15 12 $2K
85018 529 481 $1K
90674 55 48 $1K
36415 Collection of venous blood by venipuncture 504 468 $1K
87210 200 183 $859.87
90715 12 12 $570.09
90661 16 12 $265.75
51798 17 12 $149.51
99000 5,098 4,674 $11.68
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 13 13 $0.00
0500F 14 13 $0.00
36416 14 14 $0.00
0502F 272 195 $0.00