Physician
Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $643K by Medicaid between Jan 2018 and Sep 2023, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
SALISBURY, NC 28144
SALISBURY, NC 28144
33aNPI1770827388assigned 11/20/2012
33bProvider typeOrthopaedic Surgery Physician
28Total paid$643K
24GClaims24,877
24DCodes billed37
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Orthopaedic Surgery Physician providers in North Carolina
Rank by total paid#5 of 66
Median peer was paid$19K
This provider vs. median34×
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 | 4,969 | $74K | |
| 2019 | 4,016 | $69K | |
| 2020 | 3,533 | $73K | |
| 2021 | 3,459 | $111K | |
| 2022 | 4,685 | $169K | |
| 2023 | 4,215 | $147K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 8,750 | 6,916 | $269K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 22% | 2,600 | 2,175 | $139K |
| 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 | 17% | 2,318 | 1,830 | $106K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 9.9% | 661 | 502 | $63K |
| 73630 | 3.4% | 1,870 | 1,224 | $22K | |
| 20610 | 2.6% | 712 | 535 | $16K | |
| 73562 | 1.1% | 432 | 346 | $7K | |
| 73610 | <1% | 292 | 203 | $4K | |
| 73110 | <1% | 187 | 132 | $3K | |
| 73502 | <1% | 199 | 153 | $3K | |
| 73564 | <1% | 167 | 114 | $3K | |
| 73030 | <1% | 137 | 99 | $2K |
25 more codes
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 265 | $1K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 240 | $1K |
| 11721 | <1% | 153 | $915.22 | |
| 73560 | <1% | 47 | $730.93 | |
| 73130 | <1% | 36 | $623.70 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 124 | $509.93 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | $341.90 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 49 | $105.44 |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | <1% | 16 | $0.59 |
| G8432 | Depression screening not documented, reason not given | 0% | 454 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 13 | $0.00 |
| 3017F | 0% | 209 | $0.00 | |
| 1036F | 0% | 371 | $0.00 | |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 208 | $0.00 |
| G8732 | No documentation of pain assessment, reason not given | 0% | 371 | $0.00 |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 27 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 75 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 234 | $0.00 |
| 99024 | 0% | 56 | $0.00 | |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 1,317 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,643 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 268 | $0.00 |
| G8509 | Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given | 0% | 161 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 183 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 14 | $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 (EDI MANAGER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.