Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1487325940 · WINSTON SALEM, NC 27106 · Pediatrics Physician · NPI assigned 09/24/2021

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

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

$2.77M
Total Medicaid Paid
72,201
Total Claims
64,426
Beneficiaries
42
Codes Billed
2022-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date09/24/2021

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
2022 35,968 $1.63M
2023 24,840 $1.11M
2024 11,393 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,702 8,376 $906K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,733 8,297 $613K
90460 Immunization administration through 18 years of age via any route, first or only component 5,518 4,769 $253K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,648 4,102 $230K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,711 1,495 $162K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,761 1,564 $113K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,136 1,023 $110K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 790 631 $73K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4,390 3,832 $72K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,919 1,706 $56K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 439 399 $44K
99199 Unlisted special service, procedure or report 13,988 13,974 $37K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,747 2,399 $27K
99215 Prolong outpt/office vis 159 131 $18K
96127 3,426 3,004 $15K
90837 Psychotherapy, 53 minutes with patient 170 86 $13K
90461 2,356 1,995 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 349 312 $7K
87634 100 82 $3K
D0145 Oral evaluation for a patient under three years of age 66 52 $2K
90674 1,748 1,554 $2K
0071A 26 24 $2K
D1206 Topical application of fluoride varnish 66 52 $1K
0072A 15 12 $863.34
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 20 20 $809.55
92551 2,118 1,884 $784.05
99177 1,133 983 $255.36
85025 Blood count; complete (CBC), automated, and automated differential WBC count 19 13 $137.58
99173 449 397 $83.00
36416 273 229 $74.06
96161 13 13 $49.53
90686 112 99 $43.43
85018 21 18 $20.86
90723 68 53 $0.00
91307 191 160 $0.00
90698 73 60 $0.00
90651 59 55 $0.00
90680 79 64 $0.00
90648 259 213 $0.00
90670 322 267 $0.00
91300 15 15 $0.00
90633 14 12 $0.00