Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1861163321 · WINSTON SALEM, NC 27103 · Pediatrics Physician · NPI assigned 09/24/2021

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

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

$4.48M
Total Medicaid Paid
147,904
Total Claims
116,775
Beneficiaries
56
Codes Billed
2022-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date09/24/2021

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
2022 71,651 $2.60M
2023 53,860 $1.82M
2024 22,393 $59K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,200 14,013 $1.27M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,667 4,864 $649K
90460 Immunization administration through 18 years of age via any route, first or only component 8,901 6,676 $400K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,406 2,550 $346K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,298 2,468 $329K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,889 2,125 $318K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,410 3,303 $222K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,167 1,589 $206K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,479 1,863 $162K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4,909 3,670 $147K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4,160 3,121 $77K
D0145 Oral evaluation for a patient under three years of age 1,946 1,461 $72K
99199 Unlisted special service, procedure or report 26,814 26,757 $70K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,109 4,651 $63K
96127 10,019 7,577 $43K
D1206 Topical application of fluoride varnish 1,946 1,461 $32K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,655 1,179 $15K
80061 Lipid panel 760 546 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 466 350 $10K
90461 4,300 3,235 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 61 40 $7K
96161 874 659 $3K
99215 Prolong outpt/office vis 29 16 $3K
90791 Psychiatric diagnostic evaluation 23 13 $2K
90651 563 416 $2K
92551 7,770 5,801 $2K
0072A 17 12 $1K
90674 2,053 1,542 $1K
81003 387 258 $906.55
36415 Collection of venous blood by venipuncture 250 172 $674.19
90620 156 114 $648.81
90734 574 437 $601.86
99173 7,998 5,954 $592.51
90472 Immunization administration, each additional vaccine (list separately) 19 14 $538.11
99051 17 13 $432.67
96160 99 74 $378.70
87807 19 15 $274.91
36416 2,547 1,855 $267.26
85018 419 328 $220.48
90686 509 371 $207.86
99177 905 664 $143.64
92552 214 147 $135.84
81025 17 12 $127.83
90670 1,516 1,140 $0.00
90648 1,047 801 $0.00
90715 86 68 $0.00
90633 306 223 $0.00
90710 34 24 $0.00
90698 594 431 $0.00
99000 834 591 $0.00
90723 513 397 $0.00
91305 79 56 $0.00
90680 614 466 $0.00
90696 31 24 $0.00
91307 106 74 $0.00
90744 123 94 $0.00