Physician
Novant Medical Group INC
Novant Medical Group INC was paid $339K by Medicaid between Jan 2018 and Nov 2023, across 15 billing codes. Its largest line is 99243, — 51% of everything it billed.
33Billing provider infoNOVANT MEDICAL GROUP INC
THOMASVILLE, NC 27360
THOMASVILLE, NC 27360
33aNPI1487083598assigned 11/08/2013
33bProvider typeOtolaryngology Physician
28Total paid$339K
24GClaims6,418
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Otolaryngology Physician providers in North Carolina
Rank by total paid#13 of 42
Median peer was paid$109K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2018 | 919 | $38K | |
| 2019 | 1,001 | $46K | |
| 2020 | 841 | $42K | |
| 2021 | 1,517 | $64K | |
| 2022 | 1,038 | $72K | |
| 2023 | 1,102 | $77K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99243 | 51% | 1,793 | 1,514 | $173K | |
| 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 | 29% | 1,611 | 1,289 | $97K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 1,195 | 1,063 | $50K |
| 95117 | 2.5% | 1,027 | 299 | $9K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.3% | 88 | 80 | $4K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 14 | 12 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 52 | 48 | $1K |
| 99242 | <1% | 15 | 15 | $1K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 177 | 140 | $0.00 |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 142 | 109 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 35 | 24 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 27 | 25 | $0.00 |
3 more codes
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.