Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1568808855 · WINSTON SALEM, NC 27103 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI assigned 05/14/2013

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

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

$284K
Total Medicaid Paid
8,941
Total Claims
7,522
Beneficiaries
19
Codes Billed
2018-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date05/14/2013

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 824 $29K
2019 1,360 $34K
2020 1,010 $29K
2021 1,975 $67K
2022 1,715 $65K
2023 2,057 $59K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,045 3,482 $197K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 395 370 $31K
64483 166 130 $18K
64493 299 227 $15K
27096 122 105 $9K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,103 871 $4K
99152 792 580 $3K
J1030 Injection, methylprednisolone acetate, 40 mg 1,116 967 $3K
64635 17 12 $2K
64494 14 13 $342.30
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 12 $301.81
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 131 104 $245.30
J1100 Injection, dexamethasone sodium phosphate, 1 mg 95 77 $36.74
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 90 73 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 32 28 $0.00
G8482 Influenza immunization administered or previously received 16 12 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 102 85 $0.00
G8509 Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given 60 54 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 333 320 $0.00