FORSYTH MEMORIAL HOSPITAL, INC.
NPI: 1104548874
· WINSTON SALEM, NC 27106
· 207Q00000X
$3.68M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
22,292 |
$1.05M |
| 2024 |
57,514 |
$2.63M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
41,058 |
37,274 |
$2.48M |
| 99213 |
|
10,571 |
9,735 |
$503K |
| 99393 |
|
818 |
780 |
$79K |
| 99204 |
|
677 |
658 |
$77K |
| 99392 |
|
705 |
653 |
$68K |
| 90834 |
|
1,145 |
683 |
$63K |
| 87635 |
|
1,196 |
1,106 |
$59K |
| 90460 |
|
1,248 |
1,181 |
$56K |
| 87502 |
|
773 |
738 |
$48K |
| 99215 |
Prolong outpt/office vis |
344 |
322 |
$36K |
| 99391 |
|
380 |
361 |
$35K |
| 96127 |
|
6,077 |
5,845 |
$30K |
| 99394 |
|
225 |
203 |
$25K |
| 99443 |
|
230 |
210 |
$18K |
| 87651 |
|
597 |
567 |
$18K |
| 85025 |
|
1,770 |
1,674 |
$16K |
| 99203 |
|
252 |
242 |
$16K |
| 96110 |
|
1,388 |
1,305 |
$14K |
| 99199 |
|
2,837 |
2,830 |
$9K |
| G2211 |
Complex e/m visit add on |
1,866 |
1,721 |
$6K |
| D0145 |
|
76 |
68 |
$3K |
| 87634 |
|
86 |
83 |
$2K |
| 36415 |
|
826 |
774 |
$2K |
| 90461 |
|
558 |
519 |
$2K |
| 90471 |
|
92 |
81 |
$2K |
| 85027 |
|
188 |
182 |
$1K |
| 90791 |
|
14 |
14 |
$1K |
| D1206 |
|
76 |
68 |
$1K |
| 96160 |
|
239 |
220 |
$923.85 |
| 96372 |
|
42 |
40 |
$819.22 |
| 96161 |
|
152 |
145 |
$573.16 |
| 11102 |
|
12 |
12 |
$560.84 |
| 90661 |
|
138 |
136 |
$464.90 |
| 71046 |
|
17 |
17 |
$273.83 |
| 80053 |
|
26 |
25 |
$254.59 |
| 90674 |
|
207 |
194 |
$183.49 |
| 83036 |
|
13 |
13 |
$158.97 |
| 81003 |
|
122 |
121 |
$154.40 |
| 81001 |
|
41 |
39 |
$132.97 |
| G0136 |
Adm of pa/n assess 5-15 m |
569 |
565 |
$80.23 |
| 99173 |
|
1,263 |
1,188 |
$27.32 |
| 92551 |
|
200 |
184 |
$24.78 |
| 90723 |
|
85 |
83 |
$0.00 |
| 90677 |
|
106 |
105 |
$0.00 |
| 90680 |
|
56 |
55 |
$0.00 |
| 36416 |
|
41 |
41 |
$0.00 |
| 90648 |
|
190 |
178 |
$0.00 |
| 90734 |
|
53 |
44 |
$0.00 |
| 90670 |
|
73 |
65 |
$0.00 |
| 90633 |
|
56 |
51 |
$0.00 |
| 90710 |
|
19 |
14 |
$0.00 |
| 99177 |
|
13 |
13 |
$0.00 |