Physician
Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $473K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.
33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
RURAL HALL, NC 27045
RURAL HALL, NC 27045
33aNPI1720433634assigned 04/28/2016
33bProvider typeFamily Medicine Physician
28Total paid$473K
24GClaims35,103
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#272 of 960
Median peer was paid$135K
This provider vs. median3.5×
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 | 2,054 | $40K | |
| 2019 | 1,610 | $69K | |
| 2020 | 1,248 | $60K | |
| 2021 | 4,600 | $102K | |
| 2022 | 7,836 | $103K | |
| 2023 | 8,168 | $72K | |
| 2024incomplete | 9,587 | $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 | 73% | 5,624 | 4,321 | $346K |
| 99199 | Unlisted special service, procedure or report | 19% | 26,174 | 25,673 | $91K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.0% | 505 | 372 | $29K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 73 | 58 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,039 | 883 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 100 | 49 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 47 | 46 | $755.58 |
| 90686 | <1% | 128 | 118 | $699.98 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 36 | 18 | $624.02 |
| 99173 | <1% | 32 | 24 | $10.08 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 443 | 297 | $0.00 |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 358 | 235 | $0.00 |
11 more codes
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 21 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 27 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 42 | $0.00 |
| G8442 | Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter | 0% | 36 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 120 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 13 | $0.00 |
| 1036F | 0% | 106 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 113 | $0.00 |
| 3017F | 0% | 32 | $0.00 | |
| 92558 | 0% | 12 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 22 | $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.