Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1942979349 · KING, NC 27021 · Pediatrics Physician · NPI assigned 09/09/2021

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

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

$1.20M
Total Medicaid Paid
34,709
Total Claims
27,170
Beneficiaries
38
Codes Billed
2022-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date09/09/2021

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
2022 17,690 $694K
2023 14,426 $497K
2024 2,593 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,166 4,397 $386K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,881 1,368 $172K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,681 2,031 $131K
90460 Immunization administration through 18 years of age via any route, first or only component 1,800 1,434 $94K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 963 753 $92K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,195 901 $76K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 716 549 $67K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,336 1,757 $39K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,076 809 $31K
D0145 Oral evaluation for a patient under three years of age 781 606 $29K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,933 1,521 $19K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 180 147 $18K
D1206 Topical application of fluoride varnish 782 606 $13K
96127 2,786 2,208 $12K
99199 Unlisted special service, procedure or report 3,647 3,628 $9K
90461 1,209 950 $3K
87807 134 105 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 18 12 $2K
96161 330 248 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 33 30 $664.64
87634 20 12 $621.45
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 23 13 $389.83
92551 686 552 $171.94
36416 330 239 $64.40
90633 124 93 $57.91
36415 Collection of venous blood by venipuncture 20 12 $46.89
99177 233 178 $34.26
81003 16 13 $29.87
99173 579 465 $27.81
90670 547 405 $22.00
90686 324 263 $19.00
90648 242 189 $11.00
99000 286 207 $0.00
90698 174 133 $0.00
90680 221 166 $0.00
90723 189 141 $0.00
90744 22 12 $0.00
90647 26 17 $0.00