Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1972272300 · HIGH POINT, NC 27265 · 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

$864K
Total Medicaid Paid
27,995
Total Claims
22,083
Beneficiaries
37
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 11,554 $526K
2023 11,730 $326K
2024 4,711 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,675 1,784 $265K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,058 2,021 $208K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,552 1,050 $78K
90460 Immunization administration through 18 years of age via any route, first or only component 1,418 1,009 $71K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 437 308 $47K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,040 1,362 $44K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 450 313 $42K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 635 427 $42K
99199 Unlisted special service, procedure or report 9,712 9,564 $25K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,113 786 $12K
96127 2,328 1,658 $10K
D0145 Oral evaluation for a patient under three years of age 127 91 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 37 25 $4K
D1206 Topical application of fluoride varnish 127 91 $2K
0124A 27 14 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 70 47 $1K
0072A 20 12 $1K
0071A 15 15 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 21 13 $618.70
90461 596 423 $501.12
96161 124 84 $433.15
85025 Blood count; complete (CBC), automated, and automated differential WBC count 51 25 $422.04
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 22 14 $406.15
90674 286 201 $115.82
92558 23 14 $5.79
90670 287 207 $0.00
91308 70 43 $0.00
90648 194 146 $0.00
90633 55 38 $0.00
91312 27 14 $0.00
99000 52 39 $0.00
85018 16 13 $0.00
36416 21 15 $0.00
90723 86 65 $0.00
90698 95 58 $0.00
90680 76 53 $0.00
91307 52 41 $0.00