Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1790725299 · CHARLOTTE, NC 28277 · Pediatrics Physician · NPI assigned 06/07/2006

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

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

$1.13M
Total Medicaid Paid
72,828
Total Claims
69,383
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date06/07/2006

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 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 5,188 $162K
2019 4,547 $191K
2020 3,302 $139K
2021 9,341 $218K
2022 21,019 $246K
2023 18,978 $141K
2024 10,453 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,817 4,925 $377K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,111 2,767 $291K
99199 Unlisted special service, procedure or report 48,824 48,258 $152K
90460 Immunization administration through 18 years of age via any route, first or only component 2,292 2,037 $92K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,332 1,078 $65K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,340 1,289 $26K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,337 1,075 $25K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 230 209 $21K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 199 195 $17K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 179 161 $12K
90472 Immunization administration, each additional vaccine (list separately) 342 334 $11K
96127 2,404 2,142 $9K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 73 68 $8K
96110 Developmental screening, with scoring and documentation, per standardized instrument 576 545 $6K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 57 56 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 324 156 $4K
90686 1,660 1,528 $2K
0001A 28 15 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 16 13 $468.23
92552 982 918 $398.56
90474 14 14 $286.30
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15 15 $211.95
90461 284 273 $155.43
85018 287 282 $97.19
99177 1,044 972 $37.24
90685 15 12 $0.00
90670 18 18 $0.00
90680 14 14 $0.00
90698 14 14 $0.00