Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1871747345 · MOORESVILLE, NC 28117 · Pediatrics Physician · NPI assigned 11/11/2008

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

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

$561K
Total Medicaid Paid
28,191
Total Claims
25,528
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date11/11/2008

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 1,111 $43K
2019 1,358 $70K
2020 1,332 $62K
2021 3,541 $104K
2022 7,246 $137K
2023 7,362 $127K
2024 6,241 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,763 3,754 $275K
90460 Immunization administration through 18 years of age via any route, first or only component 2,005 1,668 $85K
99199 Unlisted special service, procedure or report 16,189 15,923 $57K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 543 498 $48K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 239 199 $21K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 324 219 $19K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 159 121 $13K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,261 1,045 $11K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 128 103 $8K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 368 245 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 310 290 $6K
96127 668 485 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 26 26 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 69 55 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 146 69 $2K
90461 458 368 $699.06
90472 Immunization administration, each additional vaccine (list separately) 27 27 $593.05
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 44 36 $508.68
90686 184 171 $411.10
96161 49 39 $188.65
90674 74 53 $29.09
90670 89 81 $0.00
90648 36 28 $0.00
90680 19 12 $0.00
90698 13 13 $0.00