Behavioral
Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $2.30M by Medicaid between Jan 2018 and Nov 2023, across 25 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 44% of everything it billed.
33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
33aNPI1588610471assigned 05/25/2006
33bProvider typeClinical Social Worker
28Total paid$2.30M
24GClaims43,435
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Clinical Social Worker providers in North Carolina
Rank by total paid#16 of 291
Median peer was paid$39K
This provider vs. median59×
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 | 5,544 | $298K | |
| 2019 | 5,658 | $306K | |
| 2020 | 5,359 | $294K | |
| 2021 | 8,670 | $447K | |
| 2022 | 9,008 | $475K | |
| 2023 | 9,196 | $480K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 44% | 21,771 | 9,745 | $1.01M |
| 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 | 18% | 6,004 | 4,476 | $405K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.5% | 2,295 | 1,003 | $127K |
| 99223 | Prolong inpt eval add15 m | 4.9% | 766 | 677 | $112K |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.3% | 1,382 | 1,315 | $98K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.9% | 1,344 | 1,045 | $90K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.2% | 576 | 560 | $73K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 3.0% | 2,102 | 1,587 | $69K |
| 99205 | Prolong outpt/office vis | 2.6% | 466 | 455 | $61K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.6% | 1,081 | 687 | $59K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.9% | 524 | 438 | $43K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.9% | 538 | 370 | $43K |
13 more codes
| 99213 | Doctor's office visit, returning patient (routine) | 1.4% | 587 | $32K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.3% | 1,089 | $30K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.2% | 286 | $27K |
| 99245 | <1% | 40 | $7K | |
| 99199 | Unlisted special service, procedure or report | <1% | 2,067 | $7K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 81 | $5K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 30 | $3K |
| 99253 | <1% | 12 | $1K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 19 | $714.48 |
| 90785 | <1% | 191 | $495.06 | |
| G8732 | No documentation of pain assessment, reason not given | 0% | 115 | $0.00 |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 36 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 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 (EDI MANAGER)
Parent organizationNOVANT HEALTH MEDICAL GROUP, LLC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.