Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1659847481 · CHARLOTTE, NC 28278 · Pediatrics Physician · NPI assigned 10/19/2018

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

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

$993K
Total Medicaid Paid
50,296
Total Claims
44,531
Beneficiaries
40
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date10/19/2018

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
2019 1,601 $68K
2020 3,268 $126K
2021 8,486 $226K
2022 14,292 $318K
2023 13,057 $229K
2024 9,592 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,015 1,654 $197K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,785 1,420 $171K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,306 1,809 $153K
90460 Immunization administration through 18 years of age via any route, first or only component 3,265 2,704 $147K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,231 1,020 $124K
99199 Unlisted special service, procedure or report 20,733 20,423 $68K
D0145 Oral evaluation for a patient under three years of age 789 648 $29K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,971 2,481 $28K
96127 3,118 2,492 $15K
D1206 Topical application of fluoride varnish 790 649 $13K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 744 609 $12K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 91 75 $9K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 76 70 $5K
99383 30 24 $3K
96161 746 590 $3K
90461 1,872 1,544 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 50 40 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 194 74 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 137 128 $2K
99215 Prolong outpt/office vis 15 12 $2K
99381 14 13 $1K
90472 Immunization administration, each additional vaccine (list separately) 43 42 $1K
85018 802 654 $499.03
92551 731 604 $153.87
36416 738 547 $77.28
83655 42 42 $62.72
99177 609 506 $55.01
90686 271 233 $54.61
99173 252 209 $49.53
36415 Collection of venous blood by venipuncture 15 13 $43.29
90633 133 95 $36.88
90670 1,106 941 $0.00
90648 284 222 $0.00
90710 15 13 $0.00
90680 641 561 $0.00
90698 701 605 $0.00
90723 182 144 $0.00
90744 189 183 $0.00
90674 201 163 $0.00
99000 369 275 $0.00