Physician
Forsyth Memorial Hospital, INC.
Forsyth Memorial Hospital, INC. was paid $3.68M by Medicaid between Jun 2023 and Dec 2024, across 52 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoFORSYTH MEMORIAL HOSPITAL, INC.
WINSTON SALEM, NC 27106
WINSTON SALEM, NC 27106
33aNPI1104548874assigned 09/19/2022
33bProvider typeFamily Medicine Physician
28Total paid$3.68M
24GClaims79,806
24DCodes billed52
24AFirst – last monthJun 2023 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#24 of 960
Median peer was paid$135K
This provider vs. median27×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official WALTON, LEEA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 22,292 | $1.05M | |
| 2024incomplete | 57,514 | $2.63M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 68% | 41,058 | 37,274 | $2.48M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 10,571 | 9,735 | $503K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 818 | 780 | $79K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.1% | 677 | 658 | $77K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.9% | 705 | 653 | $68K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.7% | 1,145 | 683 | $63K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.6% | 1,196 | 1,106 | $59K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 1,248 | 1,181 | $56K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.3% | 773 | 738 | $48K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 344 | 322 | $36K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 380 | 361 | $35K |
| 96127 | <1% | 6,077 | 5,845 | $30K |
40 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 225 | $25K |
| 99443 | <1% | 230 | $18K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 597 | $18K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,770 | $16K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 252 | $16K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,388 | $14K |
| 99199 | Unlisted special service, procedure or report | <1% | 2,837 | $9K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,866 | $6K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 76 | $3K |
| 87634 | <1% | 86 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 826 | $2K |
| 90461 | <1% | 558 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 92 | $2K |
| 85027 | <1% | 188 | $1K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 14 | $1K |
| D1206 | Topical application of fluoride varnish | <1% | 76 | $1K |
| 96160 | <1% | 239 | $923.85 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 42 | $819.22 |
| 96161 | <1% | 152 | $573.16 | |
| 11102 | <1% | 12 | $560.84 | |
| 90661 | <1% | 138 | $464.90 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 17 | $273.83 |
| 80053 | Comprehensive metabolic panel | <1% | 26 | $254.59 |
| 90674 | <1% | 207 | $183.49 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13 | $158.97 |
| 81003 | <1% | 122 | $154.40 | |
| 81001 | <1% | 41 | $132.97 | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 569 | $80.23 |
| 99173 | <1% | 1,263 | $27.32 | |
| 92551 | <1% | 200 | $24.78 | |
| 90723 | 0% | 85 | $0.00 | |
| 90677 | 0% | 106 | $0.00 | |
| 90680 | 0% | 56 | $0.00 | |
| 36416 | 0% | 41 | $0.00 | |
| 90648 | 0% | 190 | $0.00 | |
| 90734 | 0% | 53 | $0.00 | |
| 90670 | 0% | 73 | $0.00 | |
| 90633 | 0% | 56 | $0.00 | |
| 90710 | 0% | 19 | $0.00 | |
| 99177 | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWALTON, LEEA (RCS MANAGER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.