Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1588610471 · CHARLOTTE, NC 28207 · Clinical Social Worker · NPI assigned 05/25/2006

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

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

$2.30M
Total Medicaid Paid
43,435
Total Claims
25,832
Beneficiaries
25
Codes Billed
2018-01
First Month
2023-11
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (EDI MANAGER)
Parent OrganizationNOVANT HEALTH MEDICAL GROUP, LLC
NPI Enumeration Date05/25/2006

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
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
NOVANT HEALTH MEDICAL GROUP, LLC HUNTERSVILLE NC $1.20M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 21,771 9,745 $1.01M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,004 4,476 $405K
99233 Prolong inpt eval add15 m 2,295 1,003 $127K
99223 Prolong inpt eval add15 m 766 677 $112K
99239 Hospital discharge day management, more than 30 minutes 1,382 1,315 $98K
90837 Psychotherapy, 53 minutes with patient 1,344 1,045 $90K
99244 Office or other outpatient consultation, moderate to high complexity 576 560 $73K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 2,102 1,587 $69K
99205 Prolong outpt/office vis 466 455 $61K
90834 Psychotherapy, 45 minutes with patient 1,081 687 $59K
90791 Psychiatric diagnostic evaluation 524 438 $43K
90792 Psychiatric diagnostic evaluation with medical services 538 370 $43K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 587 360 $32K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,089 430 $30K
99215 Prolong outpt/office vis 286 199 $27K
99245 40 39 $7K
99199 Unlisted special service, procedure or report 2,067 2,067 $7K
99238 Hospital discharge day management, 30 minutes or less 81 80 $5K
99222 Initial hospital care, per day, moderate complexity 30 30 $3K
99253 12 12 $1K
90832 Psychotherapy, 30 minutes with patient 19 12 $714.48
90785 191 112 $495.06
G8732 No documentation of pain assessment, reason not given 115 85 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 36 24 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 33 24 $0.00