Medicaid Provider Spending

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

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1972274447 · WINSTON SALEM, NC 27103 · Pediatrics Physician · NPI assigned 09/24/2021

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

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

$1.07M
Total Medicaid Paid
35,767
Total Claims
28,864
Beneficiaries
28
Codes Billed
2022-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date09/24/2021

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 16,394 $653K
2023 11,539 $394K
2024 7,834 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,111 5,118 $450K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,851 1,341 $177K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,344 1,691 $107K
90460 Immunization administration through 18 years of age via any route, first or only component 1,499 1,104 $79K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 805 626 $48K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,292 1,645 $39K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 399 289 $36K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 361 233 $30K
99199 Unlisted special service, procedure or report 10,903 10,737 $29K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 572 434 $17K
96127 3,379 2,540 $16K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,543 1,126 $15K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 186 137 $15K
99051 309 226 $6K
90461 692 494 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 18 12 $377.07
96161 106 66 $341.50
92551 531 399 $133.04
90674 237 180 $116.37
90686 57 50 $40.90
99173 203 158 $7.12
90648 82 63 $0.00
90670 178 121 $0.00
90707 14 12 $0.00
90744 17 12 $0.00
90716 14 12 $0.00
90698 48 26 $0.00
90723 16 12 $0.00