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 $259K by Medicaid between Jan 2018 and Nov 2023, across 26 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 35% of everything it billed.

33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
SALISBURY, NC 28144
33aNPI1639179393assigned 07/26/2005
28Total paid$259K
24GClaims11,079
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in North Carolina

Rank by total paid#5 of 24
Median peer was paid$62K
This provider vs. median4.2×

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$5.0K$10K$15K2018201920202021202220232024
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
20182,548$28K
20191,951$35K
20201,067$23K
20211,333$44K
20221,658$50K
20232,522$79K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 35% 2,077 1,840 $92K
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 34% 2,232 1,965 $88K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 1,734 1,520 $44K
93000 6.1% 2,143 1,898 $16K
93922 2.7% 193 172 $7K
93880 2.2% 97 80 $6K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 49 41 $2K
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% 34 33 $2K
93978 <1% 15 13 $1K
99443 <1% 16 14 $555.22
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 12 12 $389.41
93307 <1% 13 13 $239.70
14 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 15 $209.76
G8732 No documentation of pain assessment, reason not given 0% 455 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 157 $0.00
1036F 0% 211 $0.00
G8432 Depression screening not documented, reason not given 0% 156 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 74 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 0% 42 $0.00
3017F 0% 101 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 71 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 528 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 0% 433 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 161 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 28 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 32 $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.