Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1770522484 · MATTHEWS, NC 28105 · Pediatrics Physician · NPI assigned 06/06/2006

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

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

$4.57M
Total Medicaid Paid
221,955
Total Claims
204,495
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date06/06/2006

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 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
NOVANT HEALTH MEDICAL GROUP, LLC HUNTERSVILLE NC $1.20M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,599 $422K
2019 12,594 $602K
2020 10,956 $487K
2021 32,936 $909K
2022 58,635 $1.16M
2023 55,928 $895K
2024 39,307 $102K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24,605 20,265 $1.59M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,401 9,339 $948K
90460 Immunization administration through 18 years of age via any route, first or only component 9,806 8,383 $415K
99199 Unlisted special service, procedure or report 123,194 120,571 $389K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5,236 4,255 $251K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,224 1,928 $227K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,187 1,877 $204K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 5,475 4,482 $95K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,518 1,318 $95K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,190 3,946 $82K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 785 698 $76K
96110 Developmental screening, with scoring and documentation, per standardized instrument 7,573 6,464 $72K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,574 1,272 $44K
90472 Immunization administration, each additional vaccine (list separately) 1,123 1,080 $31K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 171 147 $18K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,334 649 $18K
90461 3,574 3,053 $6K
90686 2,745 2,542 $4K
96127 817 685 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 191 181 $2K
96161 475 405 $2K
99383 13 13 $935.04
99177 8,118 7,044 $795.34
90474 25 24 $490.80
90674 838 666 $366.39
92551 741 631 $155.99
90680 378 322 $0.00
90723 199 167 $0.00
90698 710 613 $0.00
90744 28 25 $0.00
90651 15 12 $0.00
90670 1,313 1,123 $0.00
90648 335 276 $0.00
90734 17 12 $0.00
99173 13 13 $0.00
90633 14 14 $0.00