Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1639179393 · SALISBURY, NC 28144 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 07/26/2005

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

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

$259K
Total Medicaid Paid
11,079
Total Claims
9,934
Beneficiaries
26
Codes Billed
2018-01
First Month
2023-11
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date07/26/2005

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 2,548 $28K
2019 1,951 $35K
2020 1,067 $23K
2021 1,333 $44K
2022 1,658 $50K
2023 2,522 $79K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,077 1,840 $92K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,232 1,965 $88K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,734 1,520 $44K
93000 2,143 1,898 $16K
93922 193 172 $7K
93880 97 80 $6K
99215 Prolong outpt/office vis 49 41 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 34 33 $2K
93978 15 13 $1K
99443 16 14 $555.22
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $389.41
93307 13 13 $239.70
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15 13 $209.76
G8732 No documentation of pain assessment, reason not given 455 435 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 157 149 $0.00
1036F 211 198 $0.00
G8432 Depression screening not documented, reason not given 156 150 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 74 69 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 42 42 $0.00
3017F 101 96 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 71 63 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 528 503 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 433 414 $0.00
G8484 Influenza immunization was not administered, reason not given 161 144 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 28 25 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 32 32 $0.00