Physician
Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $682K by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
SALISBURY, NC 28147
SALISBURY, NC 28147
33aNPI1710933692assigned 05/25/2006
33bProvider typeInternal Medicine Physician
28Total paid$682K
24GClaims51,389
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#113 of 616
Median peer was paid$74K
This provider vs. median9.2×
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
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
| Year | Claims | 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 | |
| 2024incomplete | 10,007 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 61% | 7,122 | 5,813 | $418K |
| 99199 | Unlisted special service, procedure or report | 17% | 33,489 | 32,482 | $116K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 15% | 1,469 | 1,177 | $102K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 848 | 640 | $36K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 277 | 239 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 221 | 178 | $1K |
| 99442 | <1% | 32 | 26 | $1K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 18 | 14 | $833.29 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 44 | 29 | $716.42 |
| 99441 | <1% | 28 | 25 | $695.98 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 33 | 17 | $367.38 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | 16 | $351.50 |
25 more codes
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 68 | $276.03 |
| 90686 | <1% | 14 | $232.70 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | $217.05 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 14 | $105.38 |
| 81025 | <1% | 14 | $93.60 | |
| 1036F | 0% | 718 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 467 | $0.00 |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 120 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 696 | $0.00 |
| G8732 | No documentation of pain assessment, reason not given | 0% | 1,156 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 272 | $0.00 |
| 1101F | 0% | 56 | $0.00 | |
| 3017F | 0% | 104 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 123 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 41 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 39 | $0.00 |
| 1123F | 0% | 12 | $0.00 | |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 1,449 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,614 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 230 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 25 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 124 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 366 | $0.00 |
| 4040F | 0% | 14 | $0.00 | |
| 4004F | 0% | 39 | $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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.