Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1740505924 · CHINA GROVE, NC 28023 · Family Medicine Physician · NPI assigned 03/31/2010

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

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

$455K
Total Medicaid Paid
25,286
Total Claims
23,703
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date03/31/2010

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 2,730 $70K
2019 2,298 $79K
2020 1,143 $62K
2021 2,285 $75K
2022 4,599 $83K
2023 5,623 $65K
2024 6,608 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,543 4,761 $368K
99199 Unlisted special service, procedure or report 15,752 15,436 $55K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 348 267 $19K
99215 Prolong outpt/office vis 109 101 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 116 105 $1K
36415 Collection of venous blood by venipuncture 631 554 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 92 81 $640.91
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 31 28 $614.64
90674 21 16 $287.52
83036 Hemoglobin; glycosylated (A1C) 44 44 $223.40
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 563 508 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 640 570 $0.00
G8484 Influenza immunization was not administered, reason not given 108 92 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 13 12 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 58 50 $0.00
4004F 77 67 $0.00
G8482 Influenza immunization administered or previously received 14 13 $0.00
G8732 No documentation of pain assessment, reason not given 439 391 $0.00
G8432 Depression screening not documented, reason not given 258 238 $0.00
3017F 107 93 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 138 121 $0.00
1036F 58 49 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 67 54 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 32 28 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 13 12 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 14 12 $0.00