Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1770033763 · CHARLOTTE, NC 28277 · Orthopaedic Surgery Physician · NPI assigned 10/13/2016

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

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

$23K
Total Medicaid Paid
1,091
Total Claims
1,008
Beneficiaries
15
Codes Billed
2018-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date10/13/2016

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 160 $7K
2019 690 $6K
2020 42 $2K
2021 54 $2K
2022 56 $2K
2023 89 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 360 304 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 197 192 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14 12 $631.80
G8536 No documentation of an elder maltreatment screen, reason not given 28 27 $0.00
G8732 No documentation of pain assessment, reason not given 73 70 $0.00
1036F 77 73 $0.00
1101F 12 12 $0.00
G8432 Depression screening not documented, reason not given 41 40 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 26 26 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 106 101 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 94 90 $0.00
1090F 25 24 $0.00
G8484 Influenza immunization was not administered, reason not given 14 13 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 12 12 $0.00
4040F 12 12 $0.00