Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1831500354 · WINSTON SALEM, NC 27106 · Orthopaedic Surgery Physician · NPI assigned 05/19/2014

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

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

$886K
Total Medicaid Paid
17,964
Total Claims
14,385
Beneficiaries
26
Codes Billed
2018-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date05/19/2014

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 1,873 $74K
2019 1,580 $80K
2020 2,322 $105K
2021 4,086 $213K
2022 4,280 $217K
2023 3,823 $198K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,010 3,411 $291K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,046 4,782 $282K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,057 2,491 $171K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 972 728 $94K
20610 705 508 $19K
73564 860 622 $14K
73110 524 367 $9K
73610 176 133 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 817 694 $2K
20611 17 13 $469.09
73030 36 25 $376.90
72081 16 12 $330.51
73590 23 13 $297.19
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 17 13 $90.13
J1100 Injection, dexamethasone sodium phosphate, 1 mg 137 120 $8.20
3017F 54 45 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 13 12 $0.00
G8756 No documentation of blood pressure measurement, reason not given 48 40 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 28 25 $0.00
1036F 44 38 $0.00
G8432 Depression screening not documented, reason not given 18 14 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 137 112 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 142 112 $0.00
G8509 Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given 37 31 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 16 12 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 14 12 $0.00