Physician
Novant Health Medical Group LLC
Novant Health Medical Group LLC was paid $20.37M by Medicaid between Oct 2023 and Dec 2024, across 82 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoNOVANT HEALTH MEDICAL GROUP LLC
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
33aNPI1922721141assigned 09/22/2022
33bProvider typePediatrics Physician
28Total paid$20.37M
24GClaims482,470
24DCodes billed82
24AFirst – last monthOct 2023 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#8 of 433
Median peer was paid$942K
This provider vs. median22×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 133,753 | $5.43M | |
| 2024incomplete | 348,717 | $14.94M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 105,370 | 97,952 | $6.72M |
| 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 | 24% | 53,138 | 49,669 | $4.94M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.4% | 40,360 | 38,587 | $1.71M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.5% | 13,558 | 13,152 | $1.33M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.5% | 10,088 | 9,237 | $912K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.1% | 8,782 | 8,471 | $838K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.8% | 12,421 | 11,927 | $778K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.2% | 13,558 | 12,868 | $659K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 3.1% | 21,835 | 20,854 | $633K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 4,187 | 4,048 | $439K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 33,909 | 32,823 | $348K |
| 96127 | 1.2% | 50,725 | 49,069 | $253K |
70 more codes
| 96112 | <1% | 1,461 | $145K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 789 | $93K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,952 | $74K |
| 99245 | <1% | 346 | $61K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,448 | $47K |
| 99051 | <1% | 1,835 | $45K | |
| 90461 | <1% | 10,420 | $44K | |
| 99205 | Prolong outpt/office vis | <1% | 280 | $42K |
| 90837 | Psychotherapy session, about an hour | <1% | 395 | $36K |
| D1206 | Topical application of fluoride varnish | <1% | 1,953 | $32K |
| 99417 | Prolong home eval add 15m | <1% | 206 | $31K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,877 | $25K |
| 87634 | <1% | 652 | $19K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 996 | $13K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,349 | $12K |
| 96161 | <1% | 3,124 | $11K | |
| 96113 | <1% | 184 | $9K | |
| 99381 | <1% | 94 | $9K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 54 | $8K |
| 99199 | Unlisted special service, procedure or report | <1% | 1,702 | $7K |
| 87807 | <1% | 383 | $5K | |
| 80061 | Lipid panel | <1% | 312 | $5K |
| 99422 | <1% | 76 | $4K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 51 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 31 | $3K |
| 90661 | <1% | 7,459 | $3K | |
| 90674 | <1% | 8,987 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 72 | $2K |
| 96116 | <1% | 27 | $2K | |
| 90480 | <1% | 45 | $2K | |
| 96160 | <1% | 404 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 116 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 85018 | <1% | 2,810 | $1K | |
| 92551 | <1% | 12,241 | $1K | |
| 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% | 373 | $1K |
| 81003 | <1% | 564 | $1K | |
| 92552 | <1% | 5,282 | $1K | |
| 97802 | <1% | 22 | $1K | |
| 99173 | <1% | 12,512 | $882.65 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 324 | $827.52 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 16 | $635.19 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 14 | $499.61 |
| 88720 | <1% | 79 | $481.85 | |
| 83655 | <1% | 30 | $458.50 | |
| 99421 | <1% | 12 | $414.64 | |
| 99050 | <1% | 16 | $404.34 | |
| 36416 | <1% | 3,031 | $362.07 | |
| 90677 | <1% | 3,125 | $266.04 | |
| 92558 | <1% | 210 | $245.53 | |
| 90620 | <1% | 151 | $236.58 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 17 | $158.49 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 16 | $155.64 |
| 90680 | <1% | 1,019 | $100.05 | |
| 90723 | <1% | 1,462 | $93.40 | |
| 99177 | <1% | 9,309 | $80.93 | |
| 90648 | <1% | 3,917 | $12.31 | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 567 | $4.88 |
| 90633 | 0% | 579 | $0.00 | |
| 90710 | 0% | 63 | $0.00 | |
| 90670 | 0% | 279 | $0.00 | |
| 90734 | 0% | 338 | $0.00 | |
| 90671 | 0% | 13 | $0.00 | |
| 90715 | 0% | 12 | $0.00 | |
| 99000 | 0% | 3,764 | $0.00 | |
| 90656 | 0% | 196 | $0.00 | |
| 90651 | 0% | 572 | $0.00 | |
| 90686 | 0% | 801 | $0.00 | |
| 99174 | 0% | 517 | $0.00 | |
| 99451 | 0% | 194 | $0.00 |
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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.