Physician
Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $3.18M by Medicaid between Oct 2018 and Dec 2024, across 50 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 19% of everything it billed.
33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
CHARLOTTE, NC 28215
CHARLOTTE, NC 28215
33aNPI1679056733assigned 09/13/2018
33bProvider typePediatrics Physician
28Total paid$3.18M
24GClaims163,465
24DCodes billed50
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#117 of 433
Median peer was paid$942K
This provider vs. median3.4×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,064 | $53K | |
| 2019 | 9,962 | $300K | |
| 2020 | 14,181 | $412K | |
| 2021 | 29,903 | $704K | |
| 2022 | 52,513 | $991K | |
| 2023 | 36,552 | $670K | |
| 2024incomplete | 18,290 | $51K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 19% | 6,316 | 5,231 | $594K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 8,782 | 6,991 | $589K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 4,842 | 4,069 | $486K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 9,539 | 7,966 | $451K |
| 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 | 13% | 4,219 | 3,580 | $413K |
| 99199 | Unlisted special service, procedure or report | 6.2% | 60,254 | 58,866 | $199K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.0% | 10,620 | 8,885 | $95K |
| 96127 | 1.8% | 12,851 | 10,601 | $59K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 487 | 424 | $50K |
| D0145 | Oral evaluation for a patient under three years of age | 1.4% | 1,270 | 1,075 | $44K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.2% | 856 | 673 | $39K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 1,656 | 1,471 | $32K |
38 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 922 | $26K |
| D1206 | Topical application of fluoride varnish | <1% | 1,254 | $20K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,143 | $19K |
| 96161 | <1% | 5,420 | $19K | |
| 99381 | <1% | 146 | $15K | |
| 90474 | <1% | 356 | $7K | |
| 90461 | <1% | 5,829 | $7K | |
| 99383 | <1% | 56 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 341 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $2K |
| 0072A | <1% | 17 | $1K | |
| 90686 | <1% | 2,808 | $923.24 | |
| 0071A | <1% | 13 | $860.91 | |
| 92551 | <1% | 2,234 | $816.53 | |
| 85018 | <1% | 902 | $549.65 | |
| 99173 | <1% | 2,891 | $371.28 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 25 | $327.23 |
| 82247 | <1% | 25 | $161.81 | |
| 92552 | <1% | 299 | $94.84 | |
| 90674 | <1% | 441 | $86.73 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 13 | $67.06 |
| 91307 | <1% | 52 | $52.18 | |
| 99177 | <1% | 504 | $47.88 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 16 | $43.98 |
| 36416 | <1% | 534 | $38.64 | |
| 90648 | 0% | 1,414 | $0.00 | |
| 90633 | 0% | 1,235 | $0.00 | |
| 90670 | 0% | 4,456 | $0.00 | |
| 90710 | 0% | 277 | $0.00 | |
| 90707 | 0% | 87 | $0.00 | |
| 90700 | 0% | 42 | $0.00 | |
| 91308 | 0% | 20 | $0.00 | |
| 90744 | 0% | 1,294 | $0.00 | |
| 90698 | 0% | 2,327 | $0.00 | |
| 90680 | 0% | 2,965 | $0.00 | |
| 99000 | 0% | 435 | $0.00 | |
| 90723 | 0% | 897 | $0.00 | |
| 90716 | 0% | 69 | $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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.