Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1558616128 · THOMASVILLE, NC 27360 · Sports Medicine (Orthopaedic Surgery) Physician · NPI assigned 07/19/2012

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

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

$192K
Total Medicaid Paid
7,057
Total Claims
5,057
Beneficiaries
23
Codes Billed
2018-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date07/19/2012

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 2,386 $37K
2019 2,041 $51K
2020 574 $19K
2021 665 $29K
2022 663 $27K
2023 728 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,635 1,866 $85K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,164 779 $62K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 718 481 $29K
20610 412 287 $7K
99215 Prolong outpt/office vis 75 49 $5K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 287 229 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 14 $811.50
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 267 197 $639.10
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 14 $344.74
73562 15 15 $337.87
73502 14 12 $139.04
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15 13 $132.22
73564 15 12 $57.15
J1100 Injection, dexamethasone sodium phosphate, 1 mg 41 16 $3.20
1036F 47 38 $0.00
3017F 53 38 $0.00
99024 364 307 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 34 26 $0.00
G8432 Depression screening not documented, reason not given 32 24 $0.00
G8509 Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given 114 83 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 430 322 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 262 211 $0.00
G8484 Influenza immunization was not administered, reason not given 33 24 $0.00