Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1891735312 · CHARLOTTE, NC 28262 · Pediatrics Physician · NPI assigned 06/07/2006

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

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

$2.83M
Total Medicaid Paid
160,537
Total Claims
146,900
Beneficiaries
48
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date06/07/2006

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
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
NOVANT HEALTH MEDICAL GROUP, LLC HUNTERSVILLE NC $1.20M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,026 $238K
2019 7,519 $300K
2020 9,758 $340K
2021 24,372 $588K
2022 42,049 $716K
2023 41,870 $581K
2024 26,943 $72K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,050 5,377 $558K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,106 5,856 $444K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,466 3,777 $411K
90460 Immunization administration through 18 years of age via any route, first or only component 8,518 7,161 $383K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,649 3,079 $354K
99199 Unlisted special service, procedure or report 79,041 77,999 $251K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 965 809 $87K
96110 Developmental screening, with scoring and documentation, per standardized instrument 8,663 7,471 $80K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 636 513 $63K
96127 9,924 8,125 $41K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,919 1,813 $38K
90472 Immunization administration, each additional vaccine (list separately) 1,017 988 $33K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 525 418 $24K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 936 749 $17K
90461 4,887 4,028 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 620 307 $8K
96161 2,220 1,776 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 433 416 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 73 57 $5K
92552 4,198 3,565 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 101 81 $3K
90474 115 111 $2K
96160 424 340 $1K
99215 Prolong outpt/office vis 14 12 $1K
99381 14 14 $1K
90651 103 73 $839.44
90686 1,218 1,104 $790.98
90670 3,284 2,815 $706.47
90734 114 94 $671.75
87807 33 28 $447.27
99173 3,334 2,846 $422.87
81003 287 273 $193.90
90674 288 232 $103.37
90680 1,232 1,068 $97.06
90710 33 24 $0.00
90633 575 481 $0.00
90648 844 695 $0.00
90707 43 39 $0.00
90685 41 39 $0.00
90700 18 12 $0.00
90715 15 12 $0.00
90723 365 301 $0.00
90744 449 426 $0.00
90698 1,493 1,300 $0.00
90716 45 41 $0.00
99174 134 106 $0.00
90696 17 12 $0.00
90743 58 37 $0.00