Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1518448679 · WESLEY CHAPEL, NC 28104 · Pediatrics Physician · NPI assigned 08/27/2018

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

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

$737K
Total Medicaid Paid
32,501
Total Claims
29,379
Beneficiaries
28
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date08/27/2018

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 424 $13K
2019 1,808 $90K
2020 2,378 $104K
2021 5,822 $183K
2022 9,279 $218K
2023 6,776 $112K
2024 6,014 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,904 3,818 $319K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,986 1,709 $185K
90460 Immunization administration through 18 years of age via any route, first or only component 1,277 1,094 $59K
99199 Unlisted special service, procedure or report 17,613 17,177 $58K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 890 665 $42K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 991 754 $17K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 138 122 $13K
96110 Developmental screening, with scoring and documentation, per standardized instrument 989 856 $9K
96127 1,289 1,029 $7K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 106 84 $7K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 60 53 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 329 310 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 132 129 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 195 89 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 24 24 $2K
90472 Immunization administration, each additional vaccine (list separately) 33 32 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 35 26 $987.60
90686 266 249 $709.95
81003 394 379 $469.56
90461 246 208 $377.01
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 13 $183.69
96161 27 25 $102.54
92551 172 164 $40.60
99177 285 276 $5.32
99173 64 54 $3.04
90670 12 12 $0.00
90648 12 12 $0.00
90674 19 16 $0.00