Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1710051123 · SHALLOTTE, NC 28470 · Family Medicine Physician · NPI assigned 11/17/2006

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

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

$3.02M
Total Medicaid Paid
147,797
Total Claims
136,669
Beneficiaries
60
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date11/17/2006

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 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
NOVANT HEALTH MEDICAL GROUP, LLC HUNTERSVILLE NC $1.20M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,913 $368K
2019 15,199 $445K
2020 10,042 $407K
2021 21,689 $667K
2022 33,120 $674K
2023 28,212 $392K
2024 23,622 $67K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26,671 23,629 $1.79M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,139 9,680 $577K
99199 Unlisted special service, procedure or report 74,005 72,668 $267K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 7,314 6,076 $131K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,447 1,614 $45K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,535 1,949 $43K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 520 501 $32K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 846 744 $24K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 413 381 $24K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 286 227 $23K
99215 Prolong outpt/office vis 304 289 $18K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,054 992 $14K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 145 125 $6K
90460 Immunization administration through 18 years of age via any route, first or only component 138 111 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 539 499 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 179 147 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 25 25 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 29 25 $3K
99201 64 47 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 301 254 $1K
87807 118 80 $1K
81003 647 601 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 29 29 $602.89
94060 54 54 $364.90
94726 53 53 $247.10
99406 29 29 $245.83
71046 Radiologic examination, chest; 2 views 31 31 $214.19
94729 53 53 $163.80
J1040 Injection, methylprednisolone acetate, 80 mg 29 26 $158.64
90734 24 15 $147.84
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 19 16 $111.98
90686 15 12 $20.45
90461 14 12 $15.71
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 13 13 $14.40
99173 18 14 $2.04
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,558 3,340 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 3,298 3,079 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 445 415 $0.00
G8484 Influenza immunization was not administered, reason not given 670 619 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 254 239 $0.00
G8482 Influenza immunization administered or previously received 98 90 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 148 133 $0.00
4040F 88 85 $0.00
3023F 106 103 $0.00
4004F 14 12 $0.00
G8598 Aspirin or another antiplatelet therapy used 13 12 $0.00
G8432 Depression screening not documented, reason not given 1,296 1,225 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 591 551 $0.00
1036F 1,382 1,289 $0.00
G8732 No documentation of pain assessment, reason not given 2,680 2,506 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 802 757 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 267 255 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 265 250 $0.00
1123F 76 73 $0.00
3017F 326 308 $0.00
G8926 Spirometry test not performed or documented, reason not given 176 172 $0.00
1101F 74 73 $0.00
92551 18 13 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 25 24 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 27 25 $0.00