Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1710933692 · SALISBURY, NC 28147 · Internal Medicine Physician · NPI assigned 05/25/2006

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

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

$682K
Total Medicaid Paid
51,389
Total Claims
46,167
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date05/25/2006

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 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 6,440 $98K
2019 4,415 $105K
2020 1,972 $89K
2021 7,675 $145K
2022 11,073 $130K
2023 9,807 $88K
2024 10,007 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,122 5,813 $418K
99199 Unlisted special service, procedure or report 33,489 32,482 $116K
99215 Prolong outpt/office vis 1,469 1,177 $102K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 848 640 $36K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 277 239 $4K
83036 Hemoglobin; glycosylated (A1C) 221 178 $1K
99442 32 26 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 18 14 $833.29
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 44 29 $716.42
99441 28 25 $695.98
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 33 17 $367.38
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18 16 $351.50
99308 Subsequent nursing facility care, per day, straightforward 68 37 $276.03
90686 14 14 $232.70
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 15 $217.05
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14 12 $105.38
81025 14 12 $93.60
1036F 718 497 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 467 307 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 120 97 $0.00
G8432 Depression screening not documented, reason not given 696 492 $0.00
G8732 No documentation of pain assessment, reason not given 1,156 806 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 272 214 $0.00
1101F 56 41 $0.00
3017F 104 81 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 123 102 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 41 24 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 39 24 $0.00
1123F 12 12 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 1,449 1,019 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,614 1,146 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 230 152 $0.00
G8482 Influenza immunization administered or previously received 25 24 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 124 96 $0.00
G8484 Influenza immunization was not administered, reason not given 366 251 $0.00
4040F 14 12 $0.00
4004F 39 24 $0.00