Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Winston Salem › NPI 1619599198
Physician

Novant Health Medical Group, LLC

Novant Health Medical Group, LLC was paid $646K by Medicaid between Aug 2020 and Nov 2023, across 13 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 36% of everything it billed.

33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
WINSTON SALEM, NC 27103
33aNPI1619599198assigned 05/07/2020
28Total paid$646K
24GClaims6,915
24DCodes billed13
24AFirst – last monthAug 2020 – Nov 2023
Compared with peers

Next to other Pediatric Cardiology Physician providers in North Carolina

Rank by total paid#8 of 16
Median peer was paid$132K
This provider vs. median4.9×

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$40K2018201920202021202220232024
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
202070$7K
20211,586$156K
20222,791$253K
20232,468$230K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99244 Office or other outpatient consultation, moderate to high complexity 36% 1,449 1,063 $231K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 27% 1,037 759 $171K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 15% 839 612 $95K
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 9.9% 681 525 $64K
93325 5.2% 1,370 952 $33K
93320 5.2% 830 603 $33K
93000 1.3% 537 419 $8K
99243 <1% 27 27 $3K
76825 <1% 21 14 $3K
93304 <1% 19 12 $1K
76820 <1% 25 15 $897.52
76827 <1% 21 14 $845.17
1 more codes
93321 <1% 59 $820.43

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

Full network →

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