Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1871527762 · CHARLOTTE, NC 28277 · Internal Medicine Physician · NPI assigned 07/10/2006

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

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

$1.82M
Total Medicaid Paid
118,909
Total Claims
112,103
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date07/10/2006

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 $1.66M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $1.33M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $1.29M
NOVANT HEALTH MEDICAL GROUP, LLC HUNTERSVILLE NC $1.20M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,333 $276K
2019 5,519 $294K
2020 4,233 $184K
2021 16,266 $372K
2022 30,196 $389K
2023 27,576 $233K
2024 27,786 $75K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,118 8,594 $922K
99199 Unlisted special service, procedure or report 82,752 81,477 $268K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,271 3,692 $268K
90460 Immunization administration through 18 years of age via any route, first or only component 2,408 2,050 $101K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 454 390 $43K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 347 322 $32K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 329 314 $28K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,656 775 $22K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,147 1,082 $22K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,359 2,086 $22K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,172 918 $21K
96127 3,366 2,820 $20K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 162 140 $18K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 799 718 $11K
90472 Immunization administration, each additional vaccine (list separately) 339 326 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 979 874 $9K
96161 918 769 $3K
99215 Prolong outpt/office vis 16 14 $2K
90686 592 568 $1K
81003 479 430 $772.29
92551 1,688 1,497 $751.13
90461 453 382 $699.06
81001 38 29 $143.72
99177 1,523 1,372 $129.67
92552 113 94 $99.65
99173 365 317 $60.98
90674 38 29 $0.67
90670 16 12 $0.00
90633 12 12 $0.00