Forsyth Memorial Hospital INC
Forsyth Memorial Hospital INC was paid $718K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.
WINSTON SALEM, NC 27106
Next to other Internal Medicine Physician providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 11,190 | $32K |
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 | 67% | 9,072 | 7,999 | $484K |
| 99199 | Unlisted special service, procedure or report | 17% | 37,519 | 36,876 | $121K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 2,417 | 2,106 | $109K |
| 99442 | <1% | 35 | 28 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 45 | 25 | $616.30 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 30 | 30 | $613.50 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 45 | 33 | $598.17 |
| 90686 | <1% | 13 | 13 | $16.55 | |
| 1036F | 0% | 44 | 40 | $0.00 | |
| G8732 | No documentation of pain assessment, reason not given | 0% | 73 | 66 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 45 | 41 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 14 | 13 | $0.00 |
4 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 307 | $0.00 |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 291 | $0.00 |
| G8442 | Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter | 0% | 54 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 30 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.