Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1558828194 · HARRISBURG, NC 28075 · Pediatrics Physician · NPI assigned 03/01/2019

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

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

$804K
Total Medicaid Paid
46,052
Total Claims
41,587
Beneficiaries
33
Codes Billed
2019-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date03/01/2019

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
2019 242 $15K
2020 2,137 $86K
2021 6,078 $172K
2022 14,117 $285K
2023 14,735 $222K
2024 8,743 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,804 2,167 $183K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,788 1,399 $173K
90460 Immunization administration through 18 years of age via any route, first or only component 2,833 2,302 $144K
99199 Unlisted special service, procedure or report 27,261 26,566 $84K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 760 600 $78K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 373 319 $36K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 730 584 $34K
D0145 Oral evaluation for a patient under three years of age 490 387 $18K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,406 1,136 $14K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 715 565 $11K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 148 120 $9K
D1206 Topical application of fluoride varnish 472 372 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 31 26 $3K
90461 1,719 1,384 $3K
96161 583 493 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 66 58 $2K
96127 263 207 $1K
92552 338 264 $405.44
90686 207 170 $219.30
87807 14 12 $202.02
90674 194 151 $173.12
99177 253 195 $37.24
85018 105 82 $29.28
99173 106 85 $6.12
90670 1,027 837 $0.00
90648 285 224 $0.00
90633 51 41 $0.00
99000 196 151 $0.00
36416 99 71 $0.00
90723 193 151 $0.00
90680 308 259 $0.00
90744 26 25 $0.00
90698 208 184 $0.00