Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1508496142 · LEXINGTON, NC 27292 · Obstetrics & Gynecology Physician · NPI assigned 01/23/2020

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

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

$150K
Total Medicaid Paid
5,659
Total Claims
4,161
Beneficiaries
19
Codes Billed
2020-04
First Month
2023-05
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date01/23/2020

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
2020 768 $26K
2021 1,768 $45K
2022 2,209 $49K
2023 914 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76801 365 277 $35K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 398 336 $31K
59025 Fetal non-stress test 644 413 $14K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 128 114 $12K
J1050 Injection, medroxyprogesterone acetate, 1 mg 181 151 $9K
81025 1,069 836 $7K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 155 120 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 123 108 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 400 303 $6K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 82 69 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 65 47 $5K
76830 Ultrasound, transvaginal 42 31 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 29 24 $2K
81002 1,354 893 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 62 47 $1K
90674 49 40 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 24 20 $434.58
0502F 476 320 $0.00
0500F 13 12 $0.00