Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP LLC

NPI: 1922721141 · CHARLOTTE, NC 28211 · Pediatrics Physician · NPI assigned 09/22/2022

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

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

$20.37M
Total Medicaid Paid
482,470
Total Claims
457,098
Beneficiaries
82
Codes Billed
2023-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date09/22/2022

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 133,753 $5.43M
2024 348,717 $14.94M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 105,370 97,952 $6.72M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 53,138 49,669 $4.94M
90460 Immunization administration through 18 years of age via any route, first or only component 40,360 38,587 $1.71M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13,558 13,152 $1.33M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 10,088 9,237 $912K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8,782 8,471 $838K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 12,421 11,927 $778K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13,558 12,868 $659K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 21,835 20,854 $633K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,187 4,048 $439K
96110 Developmental screening, with scoring and documentation, per standardized instrument 33,909 32,823 $348K
96127 50,725 49,069 $253K
96112 1,461 1,327 $145K
99215 Prolong outpt/office vis 789 712 $93K
D0145 Oral evaluation for a patient under three years of age 1,952 1,894 $74K
99245 346 314 $61K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,448 2,217 $47K
99051 1,835 1,731 $45K
90461 10,420 10,016 $44K
99205 Prolong outpt/office vis 280 256 $42K
90837 Psychotherapy, 53 minutes with patient 395 255 $36K
D1206 Topical application of fluoride varnish 1,953 1,890 $32K
99417 Prolong home eval add 15m 206 188 $31K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,877 898 $25K
87634 652 629 $19K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 996 913 $13K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,349 1,295 $12K
96161 3,124 2,982 $11K
96113 184 166 $9K
99381 94 93 $9K
99244 Office or other outpatient consultation, moderate to high complexity 54 53 $8K
99199 Unlisted special service, procedure or report 1,702 1,698 $7K
87807 383 350 $5K
80061 Lipid panel 312 294 $5K
99422 76 73 $4K
90834 Psychotherapy, 45 minutes with patient 51 48 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 31 27 $3K
90661 7,459 7,191 $3K
90674 8,987 8,308 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 72 51 $2K
96116 27 26 $2K
90480 45 29 $2K
96160 404 384 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 116 93 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $1K
85018 2,810 2,688 $1K
92551 12,241 11,844 $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) 373 342 $1K
81003 564 522 $1K
92552 5,282 5,136 $1K
97802 22 16 $1K
99173 12,512 12,114 $882.65
36415 Collection of venous blood by venipuncture 324 298 $827.52
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 16 15 $635.19
90472 Immunization administration, each additional vaccine (list separately) 14 14 $499.61
88720 79 74 $481.85
83655 30 28 $458.50
99421 12 12 $414.64
99050 16 15 $404.34
36416 3,031 2,929 $362.07
90677 3,125 3,050 $266.04
92558 210 205 $245.53
90620 151 141 $236.58
83036 Hemoglobin; glycosylated (A1C) 17 15 $158.49
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 16 16 $155.64
90680 1,019 977 $100.05
90723 1,462 1,412 $93.40
99177 9,309 9,039 $80.93
90648 3,917 3,759 $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 567 561 $4.88
90633 579 552 $0.00
90710 63 59 $0.00
90670 279 252 $0.00
90734 338 316 $0.00
90671 13 12 $0.00
90715 12 12 $0.00
99000 3,764 3,526 $0.00
90656 196 186 $0.00
90651 572 548 $0.00
90686 801 650 $0.00
99174 517 505 $0.00
99451 194 188 $0.00