Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1689185910 · SALISBURY, NC 28147 · Orthopaedic Surgery Physician · NPI assigned 10/13/2017

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

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

$374K
Total Medicaid Paid
12,617
Total Claims
10,933
Beneficiaries
28
Codes Billed
2018-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date10/13/2017

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 1,601 $35K
2019 1,898 $36K
2020 2,235 $56K
2021 1,949 $73K
2022 2,480 $92K
2023 2,454 $82K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,862 4,933 $284K
64483 413 357 $43K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 359 340 $30K
72100 321 258 $6K
95886 81 72 $4K
72110 51 50 $1K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 1,176 1,027 $1K
64484 25 24 $967.27
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 211 181 $712.93
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,862 1,594 $656.66
27096 13 12 $632.57
72114 14 14 $527.68
20550 25 24 $222.78
20552 14 14 $182.97
J1030 Injection, methylprednisolone acetate, 40 mg 46 44 $119.56
J1040 Injection, methylprednisolone acetate, 80 mg 22 13 $72.59
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 478 443 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 549 506 $0.00
G8509 Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given 197 182 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 190 175 $0.00
G8484 Influenza immunization was not administered, reason not given 32 29 $0.00
3017F 202 192 $0.00
G8432 Depression screening not documented, reason not given 104 99 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 102 96 $0.00
1036F 159 150 $0.00
G8756 No documentation of blood pressure measurement, reason not given 82 78 $0.00
G8732 No documentation of pain assessment, reason not given 14 14 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 13 12 $0.00