Physician
Novant Health Medical Group, LLC
Novant Health Medical Group, LLC was paid $886K by Medicaid between Jan 2018 and Sep 2023, across 26 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 33% of everything it billed.
33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
WINSTON SALEM, NC 27106
WINSTON SALEM, NC 27106
33aNPI1831500354assigned 05/19/2014
33bProvider typeOrthopaedic Surgery Physician
28Total paid$886K
24GClaims17,964
24DCodes billed26
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Orthopaedic Surgery Physician providers in North Carolina
Rank by total paid#3 of 66
Median peer was paid$19K
This provider vs. median47×
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 | 1,873 | $74K | |
| 2019 | 1,580 | $80K | |
| 2020 | 2,322 | $105K | |
| 2021 | 4,086 | $213K | |
| 2022 | 4,280 | $217K | |
| 2023 | 3,823 | $198K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 33% | 4,010 | 3,411 | $291K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 6,046 | 4,782 | $282K |
| 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 | 19% | 3,057 | 2,491 | $171K |
| 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 | 11% | 972 | 728 | $94K |
| 20610 | 2.2% | 705 | 508 | $19K | |
| 73564 | 1.6% | 860 | 622 | $14K | |
| 73110 | <1% | 524 | 367 | $9K | |
| 73610 | <1% | 176 | 133 | $2K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 817 | 694 | $2K |
| 20611 | <1% | 17 | 13 | $469.09 | |
| 73030 | <1% | 36 | 25 | $376.90 | |
| 72081 | <1% | 16 | 12 | $330.51 |
14 more codes
| 73590 | <1% | 23 | $297.19 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 17 | $90.13 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 137 | $8.20 |
| 3017F | 0% | 54 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 13 | $0.00 |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 48 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 28 | $0.00 |
| 1036F | 0% | 44 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 18 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 137 | $0.00 |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 142 | $0.00 |
| G8509 | Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given | 0% | 37 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 16 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 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 (RCS MANAGER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.