Physician
Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $192K by Medicaid between Jan 2018 and Sep 2023, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
THOMASVILLE, NC 27360
THOMASVILLE, NC 27360
33aNPI1558616128assigned 07/19/2012
33bProvider typeSports Medicine (Orthopaedic Surgery) Physician
28Total paid$192K
24GClaims7,057
24DCodes billed23
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Sports Medicine (Orthopaedic Surgery) Physician providers in North Carolina
Rank by total paid#5 of 20
Median peer was paid$19K
This provider vs. median9.9×
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
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 | |
|---|---|---|---|
| 2018 | 2,386 | $37K | |
| 2019 | 2,041 | $51K | |
| 2020 | 574 | $19K | |
| 2021 | 665 | $29K | |
| 2022 | 663 | $27K | |
| 2023 | 728 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 2,635 | 1,866 | $85K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 32% | 1,164 | 779 | $62K |
| 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 | 15% | 718 | 481 | $29K |
| 20610 | 3.5% | 412 | 287 | $7K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.8% | 75 | 49 | $5K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 287 | 229 | $1K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 15 | 14 | $811.50 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 267 | 197 | $639.10 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | 14 | $344.74 |
| 73562 | <1% | 15 | 15 | $337.87 | |
| 73502 | <1% | 14 | 12 | $139.04 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | 13 | $132.22 |
11 more codes
| 73564 | <1% | 15 | $57.15 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 41 | $3.20 |
| 1036F | 0% | 47 | $0.00 | |
| 3017F | 0% | 53 | $0.00 | |
| 99024 | 0% | 364 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 34 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 32 | $0.00 |
| G8509 | Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given | 0% | 114 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 430 | $0.00 |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 262 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 33 | $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.