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 $255K by Medicaid between Jan 2018 and May 2023, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.

33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
WINSTON SALEM, NC 27103
33aNPI1841427200assigned 06/12/2009
28Total paid$255K
24GClaims5,361
24DCodes billed14
24AFirst – last monthJan 2018 – May 2023
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in North Carolina

Rank by total paid#51 of 189
Median peer was paid$47K
This provider vs. median5.5×

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$5.0K$10K$15K2018201920202021202220232024
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
2018819$24K
2019682$20K
2020620$13K
2021904$49K
20221,734$112K
2023602$37K
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 30% 1,037 801 $76K
97803 27% 2,305 1,283 $68K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 758 574 $36K
76801 12% 327 262 $31K
97802 12% 389 282 $31K
76813 1.7% 55 46 $4K
59025 Fetal non-stress test 1.7% 186 116 $4K
S0280 Medical home program, comprehensive care coordination and planning, initial plan <1% 30 25 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 14 14 $956.34
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 66 54 $875.95
81025 <1% 63 51 $440.18
90674 <1% 16 16 $337.28
2 more codes
81003 <1% 102 $81.31
81002 0% 13 $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

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