Medicaid Provider Spending

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

NOVANT MEDICAL GROUP INC

NPI: 1487083598 · THOMASVILLE, NC 27360 · Otolaryngology Physician · NPI assigned 11/08/2013

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

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

$339K
Total Medicaid Paid
6,418
Total Claims
4,805
Beneficiaries
15
Codes Billed
2018-01
First Month
2023-11
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date11/08/2013

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
2018 919 $38K
2019 1,001 $46K
2020 841 $42K
2021 1,517 $64K
2022 1,038 $72K
2023 1,102 $77K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99243 1,793 1,514 $173K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,611 1,289 $97K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,195 1,063 $50K
95117 1,027 299 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 88 80 $4K
42820 Tonsillectomy and adenoidectomy; younger than age 12 14 12 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 52 48 $1K
99242 15 15 $1K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 177 140 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 142 109 $0.00
G8484 Influenza immunization was not administered, reason not given 35 24 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 27 25 $0.00
G8432 Depression screening not documented, reason not given 67 49 $0.00
G8732 No documentation of pain assessment, reason not given 162 126 $0.00
1036F 13 12 $0.00