Physician
Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $1.25M by Medicaid between Dec 2023 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
HUNTERSVILLE, NC 28078
HUNTERSVILLE, NC 28078
33aNPI1679295307assigned 09/19/2022
33bProvider typeDermatology Physician
28Total paid$1.25M
24GClaims15,114
24DCodes billed24
24AFirst – last monthDec 2023 – Dec 2024
Compared with peers
Next to other Dermatology Physician providers in North Carolina
Rank by total paid#10 of 54
Median peer was paid$176K
This provider vs. median7.1×
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 | |
|---|---|---|---|
| 2023 | 867 | $67K | |
| 2024incomplete | 14,247 | $1.19M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 31% | 5,004 | 4,812 | $388K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 23% | 1,776 | 1,699 | $283K |
| 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 | 14% | 1,747 | 1,702 | $170K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 8.3% | 1,154 | 1,083 | $104K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 6.4% | 667 | 645 | $81K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.5% | 553 | 532 | $56K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 583 | 562 | $26K |
| 99245 | 2.0% | 133 | 120 | $26K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 244 | 239 | $16K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.2% | 109 | 108 | $15K |
| 99243 | 1.2% | 155 | 150 | $15K | |
| 97802 | 1.2% | 206 | 204 | $15K |
12 more codes
| 95117 | 1.1% | 1,785 | $14K | |
| 97803 | 1.0% | 291 | $13K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 56 | $12K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 71 | $12K |
| 99205 | Prolong outpt/office vis | <1% | 42 | $4K |
| 31575 | <1% | 51 | $2K | |
| 69210 | <1% | 77 | $2K | |
| 96127 | <1% | 149 | $502.29 | |
| 82272 | <1% | 120 | $431.65 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16 | $395.64 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 94 | $204.98 |
| A4270 | Disposable endoscope sheath, each | 0% | 31 | $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.