Medicaid Provider Spending

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

FORSYTH MEMORIAL HOSPITAL, INC.

NPI: 1104548874 · WINSTON SALEM, NC 27106 · Family Medicine Physician · NPI assigned 09/19/2022

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

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

$3.68M
Total Medicaid Paid
79,806
Total Claims
73,425
Beneficiaries
52
Codes Billed
2023-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date09/19/2022

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
2023 22,292 $1.05M
2024 57,514 $2.63M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 41,058 37,274 $2.48M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,571 9,735 $503K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 818 780 $79K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 677 658 $77K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 705 653 $68K
90834 Psychotherapy, 45 minutes with patient 1,145 683 $63K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,196 1,106 $59K
90460 Immunization administration through 18 years of age via any route, first or only component 1,248 1,181 $56K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 773 738 $48K
99215 Prolong outpt/office vis 344 322 $36K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 380 361 $35K
96127 6,077 5,845 $30K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 225 203 $25K
99443 230 210 $18K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 597 567 $18K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,770 1,674 $16K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 252 242 $16K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,388 1,305 $14K
99199 Unlisted special service, procedure or report 2,837 2,830 $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) 1,866 1,721 $6K
D0145 Oral evaluation for a patient under three years of age 76 68 $3K
87634 86 83 $2K
36415 Collection of venous blood by venipuncture 826 774 $2K
90461 558 519 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 92 81 $2K
85027 188 182 $1K
90791 Psychiatric diagnostic evaluation 14 14 $1K
D1206 Topical application of fluoride varnish 76 68 $1K
96160 239 220 $923.85
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 42 40 $819.22
96161 152 145 $573.16
11102 12 12 $560.84
90661 138 136 $464.90
71046 Radiologic examination, chest; 2 views 17 17 $273.83
80053 Comprehensive metabolic panel 26 25 $254.59
90674 207 194 $183.49
83036 Hemoglobin; glycosylated (A1C) 13 13 $158.97
81003 122 121 $154.40
81001 41 39 $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 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