Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Novant Health Medical Group, LLC

Novant Health Medical Group, LLC was paid $162K by Medicaid between Jan 2018 and Feb 2019, across 11 billing codes. Its largest line is 90792, Psychiatric diagnostic evaluation with medical services — 33% of everything it billed.

33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
WINSTON SALEM, NC 27103
33aNPI1770876914assigned 05/20/2011
33bProvider typePsychiatry Physician
28Total paid$162K
24GClaims4,532
24DCodes billed11
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers

Next to other Psychiatry Physician providers in North Carolina

Rank by total paid#89 of 165
Median peer was paid$187K
This provider vs. median0.9×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20184,152$150K
2019380$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90792 Psychiatric diagnostic evaluation with medical services 33% 895 609 $54K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 32% 1,797 488 $52K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 20% 873 194 $33K
99231 Subsequent hospital care, per day, straightforward or low complexity 7.3% 749 187 $12K
99223 Prolong inpt eval add15 m 3.3% 83 65 $5K
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 <1% 27 14 $1K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 37 12 $1K
99253 <1% 13 13 $1K
99239 Hospital discharge day management, more than 30 minutes <1% 28 22 $1K
99221 <1% 15 13 $665.41
99238 Hospital discharge day management, 30 minutes or less <1% 15 12 $468.75

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)
Same official

Other billing entities under WALTON, LEEA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.