Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Novant Health Medical Group, LLC

Novant Health Medical Group, LLC was paid $69K by Medicaid between Feb 2018 and Dec 2024, across 8 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 83% of everything it billed.

33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
CAROLINA SHORES, NC 28467
33aNPI1548410996assigned 09/23/2008
28Total paid$69K
24GClaims17,532
24DCodes billed8
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in North Carolina

Rank by total paid#317 of 616
Median peer was paid$74K
This provider vs. median0.9×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
201889$2K
2019160$3K
202026$2K
20211,086$9K
20223,228$14K
20234,567$14K
2024incomplete8,376$25K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99199 Unlisted special service, procedure or report 83% 17,138 16,902 $57K
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 8.7% 111 103 $6K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.8% 135 107 $5K
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 0% 30 29 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 31 29 $0.00
1036F 0% 14 13 $0.00
G8732 No documentation of pain assessment, reason not given 0% 45 42 $0.00
G8432 Depression screening not documented, reason not given 0% 28 25 $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)
Same official

Other billing entities under WALTON, LEEA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.