FORSYTH MEMORIAL HOSPITAL INC
NPI: 1154454825
· WINSTON SALEM, NC 27106
· 207R00000X
$718K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,587 |
$83K |
| 2019 |
2,387 |
$99K |
| 2020 |
1,518 |
$73K |
| 2021 |
6,678 |
$156K |
| 2022 |
12,865 |
$153K |
| 2023 |
12,809 |
$122K |
| 2024 |
11,190 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
9,072 |
7,999 |
$484K |
| 99199 |
|
37,519 |
36,876 |
$121K |
| 99213 |
|
2,417 |
2,106 |
$109K |
| 99442 |
|
35 |
28 |
$2K |
| 87804 |
|
45 |
25 |
$616.30 |
| 90471 |
|
30 |
30 |
$613.50 |
| G2023 |
Specimen collect covid-19 |
45 |
33 |
$598.17 |
| 90686 |
|
13 |
13 |
$16.55 |
| 1036F |
|
44 |
40 |
$0.00 |
| G8732 |
No doc of pain |
73 |
66 |
$0.00 |
| G8432 |
Dep scr not doc, rng |
45 |
41 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
14 |
13 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
307 |
278 |
$0.00 |
| G8541 |
No doc cur funct assess |
291 |
267 |
$0.00 |
| G8442 |
Doc pain as nt perf, not elg |
54 |
51 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
30 |
28 |
$0.00 |