Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1912620030 · WINSTON SALEM, NC 27103 · Neurology Physician · NPI assigned 09/23/2022

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

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

$773K
Total Medicaid Paid
11,709
Total Claims
10,649
Beneficiaries
23
Codes Billed
2023-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date09/23/2022

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
2023 1,137 $70K
2024 10,572 $702K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,864 4,614 $279K
99215 Prolong outpt/office vis 950 910 $76K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,846 1,764 $69K
95720 561 257 $60K
99245 257 254 $46K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 511 492 $43K
95819 300 272 $42K
99244 Office or other outpatient consultation, moderate to high complexity 289 281 $40K
95810 Polysomnography; sleep staging with 4 or more additional parameters 462 345 $33K
95806 498 467 $26K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 132 39 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 233 226 $11K
99205 Prolong outpt/office vis 102 91 $11K
95812 44 36 $6K
95886 102 96 $4K
99417 Prolong home eval add 15m 16 13 $3K
99292 28 12 $3K
64615 30 30 $2K
95816 43 40 $2K
99232 Subsequent hospital care, per day, moderate complexity 36 25 $1K
96127 176 164 $459.08
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 215 209 $370.75
99231 Subsequent hospital care, per day, straightforward or low complexity 14 12 $287.11