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 $24K by Medicaid between Apr 2018 and Sep 2023, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.

33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
KERNERSVILLE, NC 27284
33aNPI1780089482assigned 10/24/2014
28Total paid$24K
24GClaims689
24DCodes billed10
24AFirst – last monthApr 2018 – Sep 2023
Compared with peers

Next to other Orthopaedic Surgery Physician providers in North Carolina

Rank by total paid#28 of 66
Median peer was paid$19K
This provider vs. median1.3×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
201844$1K
2019469$13K
202129$2K
202240$3K
2023107$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 48% 283 236 $11K
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 21% 63 56 $5K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 90 78 $4K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13% 52 40 $3K
20611 1.2% 14 12 $289.49
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 62 52 $181.89
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 37 28 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 0% 37 28 $0.00
G8509 Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given 0% 36 27 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 15 15 $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 (RCS MANAGER)
Same official

Other billing entities under WALTON, LEEA

Full network →

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