Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1689139693 · CONCORD, NC 28027 · Pediatrics Physician · NPI assigned 02/04/2019

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

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

$782K
Total Medicaid Paid
54,965
Total Claims
50,104
Beneficiaries
25
Codes Billed
2019-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date02/04/2019

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 13 $46.75
2020 1,083 $31K
2021 9,333 $210K
2022 16,503 $283K
2023 16,435 $228K
2024 11,598 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,818 3,019 $245K
90460 Immunization administration through 18 years of age via any route, first or only component 2,792 2,217 $146K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,360 1,017 $132K
99199 Unlisted special service, procedure or report 34,747 34,182 $108K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 540 428 $54K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,820 2,241 $27K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 250 215 $25K
96127 3,938 3,127 $17K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 87 74 $9K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 388 290 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 135 98 $6K
90461 1,752 1,364 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 63 50 $1K
96161 251 191 $921.60
85025 Blood count; complete (CBC), automated, and automated differential WBC count 92 72 $708.70
90670 686 516 $498.14
90686 170 141 $90.78
90674 111 96 $69.99
99177 230 192 $18.62
92551 135 110 $10.59
90648 192 158 $0.00
90633 77 63 $0.00
90680 124 91 $0.00
90723 79 65 $0.00
90698 128 87 $0.00