Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Bolivia › NPI 1922720648
Physician

Novant Health Medical Group, LLC

Novant Health Medical Group, LLC was paid $47K by Medicaid between Nov 2023 and Nov 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.

33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
BOLIVIA, NC 28422
33aNPI1922720648assigned 09/19/2022
33bProvider typeUrology Physician
28Total paid$47K
24GClaims2,542
24DCodes billed9
24AFirst – last monthNov 2023 – Nov 2024
Compared with peers

Next to other Urology Physician providers in North Carolina

Rank by total paid#23 of 69
Median peer was paid$15K
This provider vs. median3.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official WALTON, LEEA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2023323$6K
2024incomplete2,219$40K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 76% 1,065 991 $35K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 290 285 $9K
81003 2.2% 795 756 $1K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.2% 13 13 $1K
81002 <1% 284 268 $409.13
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) <1% 25 25 $60.00
81000 <1% 43 39 $54.29
99406 <1% 15 13 $46.86
96127 <1% 12 12 $42.03

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialWALTON, LEEA (RCS MANAGER)
Same official

Other billing entities under WALTON, LEEA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.