Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Novant Health Medical Group, LLC

Novant Health Medical Group, LLC was paid $440K by Medicaid between Nov 2023 and Dec 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.

33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
CHARLOTTE, NC 28207
33aNPI1588386296assigned 09/19/2022
28Total paid$440K
24GClaims11,074
24DCodes billed17
24AFirst – last monthNov 2023 – Dec 2024
Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in North Carolina

Rank by total paid#9 of 49
Median peer was paid$33K
This provider vs. median13×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20231,095$43K
2024incomplete9,979$398K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 66% 4,706 4,463 $292K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 9.5% 484 464 $42K
97802 4.8% 336 327 $21K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 4.5% 905 767 $20K
99244 Office or other outpatient consultation, moderate to high complexity 4.1% 106 104 $18K
83036 Hemoglobin; glycosylated (A1C) 3.5% 1,696 1,619 $15K
95251 2.1% 489 462 $9K
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes 1.9% 275 252 $8K
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 1.8% 89 82 $8K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 60 56 $3K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 719 693 $2K
97803 <1% 16 16 $599.41
5 more codes
36415 Collection of venous blood by venipuncture <1% 206 $438.06
96127 <1% 68 $229.68
36416 <1% 597 $169.60
82948 <1% 87 $163.69
99000 0% 235 $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)
Same official

Other billing entities under WALTON, LEEA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.