Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1679727978 · SALISBURY, NC 28147 · Otolaryngology Physician · NPI assigned 11/13/2008

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

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

$439K
Total Medicaid Paid
10,841
Total Claims
6,913
Beneficiaries
25
Codes Billed
2018-01
First Month
2023-11
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date11/13/2008

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
2018 1,908 $60K
2019 1,927 $65K
2020 1,354 $43K
2021 1,569 $53K
2022 1,869 $94K
2023 2,214 $124K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99244 Office or other outpatient consultation, moderate to high complexity 905 784 $129K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,938 1,676 $119K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 690 563 $57K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,236 1,106 $55K
95117 4,515 1,390 $36K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 103 96 $18K
69210 191 169 $6K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 40 30 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 80 69 $5K
31575 86 73 $3K
42820 Tonsillectomy and adenoidectomy; younger than age 12 17 12 $3K
99243 26 26 $2K
G8484 Influenza immunization was not administered, reason not given 81 75 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 232 215 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 201 185 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 16 13 $0.00
1036F 45 40 $0.00
G8732 No documentation of pain assessment, reason not given 215 198 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 12 12 $0.00
A4270 Disposable endoscope sheath, each 77 54 $0.00
G8756 No documentation of blood pressure measurement, reason not given 44 41 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 16 14 $0.00
G8432 Depression screening not documented, reason not given 45 44 $0.00
3017F 16 15 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 14 13 $0.00