Physician
Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $150K by Medicaid between Apr 2020 and May 2023, across 19 billing codes. Its largest line is 76801, — 23% of everything it billed.
33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
LEXINGTON, NC 27292
LEXINGTON, NC 27292
33aNPI1508496142assigned 01/23/2020
33bProvider typeObstetrics & Gynecology Physician
28Total paid$150K
24GClaims5,659
24DCodes billed19
24AFirst – last monthApr 2020 – May 2023
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in North Carolina
Rank by total paid#65 of 189
Median peer was paid$47K
This provider vs. median3.2×
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 | |
|---|---|---|---|
| 2020 | 768 | $26K | |
| 2021 | 1,768 | $45K | |
| 2022 | 2,209 | $49K | |
| 2023 | 914 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76801 | 23% | 365 | 277 | $35K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 21% | 398 | 336 | $31K |
| 59025 | Fetal non-stress test | 9.3% | 644 | 413 | $14K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 8.2% | 128 | 114 | $12K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 6.0% | 181 | 151 | $9K |
| 81025 | 4.9% | 1,069 | 836 | $7K | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 4.9% | 155 | 120 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.4% | 123 | 108 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.9% | 400 | 303 | $6K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 3.6% | 82 | 69 | $5K |
| 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 | 3.5% | 65 | 47 | $5K |
| 76830 | Ultrasound, transvaginal | 2.2% | 42 | 31 | $3K |
7 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.6% | 29 | $2K |
| 81002 | 1.3% | 1,354 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 62 | $1K |
| 90674 | <1% | 49 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 24 | $434.58 |
| 0502F | 0% | 476 | $0.00 | |
| 0500F | 0% | 13 | $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.