Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1578057394 · MOORESVILLE, NC 28115 · Pediatrics Physician · NPI assigned 06/15/2018

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

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

$3.65M
Total Medicaid Paid
142,408
Total Claims
127,968
Beneficiaries
45
Codes Billed
2018-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date06/15/2018

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 3,805 $116K
2019 13,527 $591K
2020 11,268 $546K
2021 24,548 $849K
2022 34,862 $914K
2023 30,537 $572K
2024 23,861 $62K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,708 13,699 $1.06M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,330 8,060 $865K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5,529 4,410 $271K
90460 Immunization administration through 18 years of age via any route, first or only component 5,869 4,969 $259K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,172 2,557 $203K
99199 Unlisted special service, procedure or report 63,085 61,727 $199K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 5,848 4,864 $171K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,619 1,284 $152K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,015 842 $101K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 5,342 4,269 $98K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 539 486 $52K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,827 4,121 $41K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,462 2,915 $32K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,265 1,232 $25K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 215 176 $22K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,223 1,177 $17K
87634 474 350 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,000 494 $14K
90472 Immunization administration, each additional vaccine (list separately) 356 352 $11K
87081 1,074 1,044 $7K
D0145 Oral evaluation for a patient under three years of age 161 123 $6K
99051 185 183 $5K
90461 2,257 1,889 $4K
96127 721 578 $4K
90686 1,950 1,812 $3K
D1206 Topical application of fluoride varnish 161 123 $3K
96161 487 403 $2K
90651 13 12 $1K
81003 483 420 $1K
0071A 23 12 $817.47
36415 Collection of venous blood by venipuncture 118 101 $306.43
90474 12 12 $245.40
99173 1,870 1,665 $166.28
96160 32 32 $125.76
92552 162 148 $50.88
99177 96 74 $7.98
90670 521 431 $0.00
90648 68 56 $0.00
90633 13 12 $0.00
36416 597 425 $0.00
90680 85 64 $0.00
90698 366 311 $0.00
90723 24 16 $0.00
92551 28 26 $0.00
91307 23 12 $0.00