Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1770964660 · CHARLOTTE, NC 28203 · Pediatrics Physician · NPI assigned 06/16/2015

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

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

$4.49M
Total Medicaid Paid
228,157
Total Claims
205,714
Beneficiaries
58
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date06/16/2015

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 17,144 $479K
2019 19,504 $614K
2020 16,785 $617K
2021 34,574 $869K
2022 59,106 $1.04M
2023 52,227 $798K
2024 28,817 $76K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,666 12,227 $930K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,775 6,508 $692K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,958 5,989 $638K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,837 5,735 $599K
90460 Immunization administration through 18 years of age via any route, first or only component 12,384 10,163 $547K
99199 Unlisted special service, procedure or report 98,606 96,987 $325K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,593 2,198 $243K
96110 Developmental screening, with scoring and documentation, per standardized instrument 10,244 8,612 $107K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,365 3,206 $63K
90472 Immunization administration, each additional vaccine (list separately) 1,925 1,871 $51K
D0145 Oral evaluation for a patient under three years of age 1,598 1,533 $47K
96127 8,205 6,654 $35K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 558 484 $34K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,692 1,126 $27K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 225 184 $25K
D1206 Topical application of fluoride varnish 1,598 1,533 $21K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 667 538 $19K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 416 278 $19K
90474 723 702 $14K
90461 7,362 6,068 $10K
99381 84 75 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 598 293 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 536 517 $7K
96161 1,733 1,358 $6K
90651 167 144 $2K
0072A 36 28 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 39 37 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 12 $1K
90686 2,602 2,280 $1K
92551 4,673 4,028 $1K
0071A 25 15 $948.95
99051 27 24 $711.44
99177 6,734 5,701 $585.20
87634 19 12 $557.04
90674 703 555 $347.66
85018 977 885 $269.10
90633 2,073 1,822 $268.09
83655 452 439 $120.19
90634 45 34 $79.32
92552 333 201 $56.90
36416 259 206 $41.86
91307 138 83 $23.02
99173 121 103 $18.97
90680 3,051 2,664 $0.01
90723 771 634 $0.01
90670 5,214 4,528 $0.01
90648 1,207 995 $0.01
90698 3,117 2,731 $0.00
90744 1,488 1,404 $0.00
99000 391 294 $0.00
90696 25 25 $0.00
90716 62 51 $0.00
90710 658 604 $0.00
90685 127 125 $0.00
90715 15 13 $0.00
90700 143 116 $0.00
90707 48 39 $0.00
90734 56 43 $0.00