Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1679295307 · HUNTERSVILLE, NC 28078 · Dermatology Physician · NPI assigned 09/19/2022

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

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

$1.25M
Total Medicaid Paid
15,114
Total Claims
13,584
Beneficiaries
24
Codes Billed
2023-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date09/19/2022

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
2023 867 $67K
2024 14,247 $1.19M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,004 4,812 $388K
99244 Office or other outpatient consultation, moderate to high complexity 1,776 1,699 $283K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,747 1,702 $170K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,154 1,083 $104K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 667 645 $81K
99215 Prolong outpt/office vis 553 532 $56K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 583 562 $26K
99245 133 120 $26K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 244 239 $16K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 109 108 $15K
99243 155 150 $15K
97802 206 204 $15K
95117 1,785 798 $14K
97803 291 285 $13K
42820 Tonsillectomy and adenoidectomy; younger than age 12 56 55 $12K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 71 52 $12K
99205 Prolong outpt/office vis 42 39 $4K
31575 51 48 $2K
69210 77 72 $2K
96127 149 139 $502.29
82272 120 109 $431.65
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16 15 $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) 94 88 $204.98
A4270 Disposable endoscope sheath, each 31 28 $0.00