Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1952070344 · WALKERTOWN, NC 27051 · 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

$753K
Total Medicaid Paid
26,109
Total Claims
21,998
Beneficiaries
31
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 8,738 $393K
2023 10,126 $341K
2024 7,245 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,168 1,631 $202K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,795 2,092 $181K
90460 Immunization administration through 18 years of age via any route, first or only component 1,432 1,088 $67K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 681 523 $66K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 512 350 $48K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 428 322 $42K
99199 Unlisted special service, procedure or report 9,425 9,306 $25K
99422 340 245 $19K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 173 128 $18K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 590 443 $17K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 261 205 $17K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,386 1,087 $15K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 271 213 $13K
96127 2,377 1,855 $12K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 279 215 $5K
90461 803 608 $2K
99423 21 13 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 78 59 $755.74
96161 94 76 $350.84
92551 681 528 $212.60
90674 269 214 $116.36
81003 34 26 $82.17
99173 609 467 $50.32
99177 17 14 $2.66
90686 54 38 $0.00
90723 21 14 $0.00
90680 15 12 $0.00
36416 20 13 $0.00
90648 109 82 $0.00
90670 151 118 $0.00
90633 15 13 $0.00