Physician
Novant Health Medical Group LLC
Novant Health Medical Group LLC was paid $3.12M by Medicaid between Jun 2023 and Dec 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoNOVANT HEALTH MEDICAL GROUP LLC
HUNTERSVILLE, NC 28078
HUNTERSVILLE, NC 28078
33aNPI1477276699assigned 09/22/2022
33bProvider typeObstetrics & Gynecology Physician
28Total paid$3.12M
24GClaims76,891
24DCodes billed51
24AFirst – last monthJun 2023 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in North Carolina
Rank by total paid#10 of 189
Median peer was paid$47K
This provider vs. median67×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official WALTON, LEEA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 21,699 | $1.08M | |
| 2024incomplete | 55,192 | $2.04M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 13,931 | 12,198 | $743K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 19% | 7,399 | 6,629 | $586K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 14% | 5,572 | 4,811 | $432K |
| 76819 | Fetal biophysical profile; without non-stress testing | 7.1% | 3,637 | 2,196 | $220K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 5.3% | 1,244 | 1,143 | $165K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 4.3% | 2,284 | 1,653 | $133K |
| 76801 | 2.7% | 929 | 833 | $84K | |
| 76818 | 2.4% | 926 | 580 | $75K | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 2.1% | 1,405 | 1,306 | $66K |
| 99459 | 1.9% | 5,331 | 4,892 | $60K | |
| 76820 | 1.8% | 1,631 | 889 | $57K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.8% | 558 | 503 | $57K |
39 more codes
| 76830 | Ultrasound, transvaginal | 1.6% | 591 | $49K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 1,461 | $45K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.4% | 510 | $43K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.1% | 788 | $34K |
| 81025 | 1.0% | 4,588 | $32K | |
| 97803 | <1% | 487 | $30K | |
| 96127 | <1% | 6,641 | $26K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 356 | $25K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 17 | $24K |
| 97802 | <1% | 216 | $18K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 975 | $15K |
| 87660 | <1% | 647 | $13K | |
| 87510 | <1% | 645 | $13K | |
| 87480 | <1% | 645 | $13K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 108 | $10K |
| 59025 | Fetal non-stress test | <1% | 428 | $9K |
| 59426 | <1% | 16 | $8K | |
| 81002 | <1% | 3,727 | $6K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 81 | $6K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 101 | $4K |
| 99493 | <1% | 30 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 171 | $3K |
| 81003 | <1% | 1,859 | $2K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 15 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 169 | $2K |
| 99245 | <1% | 13 | $2K | |
| 99494 | <1% | 15 | $2K | |
| 85018 | <1% | 529 | $1K | |
| 90674 | <1% | 55 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 504 | $1K |
| 87210 | <1% | 200 | $859.87 | |
| 90715 | <1% | 12 | $570.09 | |
| 90661 | <1% | 16 | $265.75 | |
| 51798 | <1% | 17 | $149.51 | |
| 99000 | <1% | 5,098 | $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 | 0% | 13 | $0.00 |
| 0500F | 0% | 14 | $0.00 | |
| 36416 | 0% | 14 | $0.00 | |
| 0502F | 0% | 272 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWALTON, LEEA (RCS MANAGER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.