Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Novant Health Medical Group, LLC

Novant Health Medical Group, LLC was paid $374K by Medicaid between Jan 2018 and Sep 2023, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.

33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
SALISBURY, NC 28147
33aNPI1689185910assigned 10/13/2017
28Total paid$374K
24GClaims12,617
24DCodes billed28
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers

Next to other Orthopaedic Surgery Physician providers in North Carolina

Rank by total paid#8 of 66
Median peer was paid$19K
This provider vs. median20×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,601$35K
20191,898$36K
20202,235$56K
20211,949$73K
20222,480$92K
20232,454$82K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 76% 5,862 4,933 $284K
64483 12% 413 357 $43K
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 8.0% 359 340 $30K
72100 1.5% 321 258 $6K
95886 1.2% 81 72 $4K
72110 <1% 51 50 $1K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 1,176 1,027 $1K
64484 <1% 25 24 $967.27
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 211 181 $712.93
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,862 1,594 $656.66
27096 <1% 13 12 $632.57
72114 <1% 14 14 $527.68
16 more codes
20550 <1% 25 $222.78
20552 <1% 14 $182.97
J1030 Injection, methylprednisolone acetate, 40 mg <1% 46 $119.56
J1040 Injection, methylprednisolone acetate, 80 mg <1% 22 $72.59
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 0% 478 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 549 $0.00
G8509 Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given 0% 197 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 190 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 32 $0.00
3017F 0% 202 $0.00
G8432 Depression screening not documented, reason not given 0% 104 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 102 $0.00
1036F 0% 159 $0.00
G8756 No documentation of blood pressure measurement, reason not given 0% 82 $0.00
G8732 No documentation of pain assessment, reason not given 0% 14 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 13 $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)
Same official

Other billing entities under WALTON, LEEA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.