Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Forsyth Memorial Hospital, INC.

Forsyth Memorial Hospital, INC. was paid $325K by Medicaid between Dec 2023 and Dec 2024, across 14 billing codes. Its largest line is 90791, psychiatric diagnostic evaluation — 33% of everything it billed.

33Billing provider infoFORSYTH MEMORIAL HOSPITAL, INC.
WINSTON SALEM, NC 27103
33aNPI1194447805assigned 09/19/2022
33bProvider typePsychiatry Physician
28Total paid$325K
24GClaims4,525
24DCodes billed14
24AFirst – last monthDec 2023 – Dec 2024
Compared with peers

Next to other Psychiatry Physician providers in North Carolina

Rank by total paid#63 of 165
Median peer was paid$187K
This provider vs. median1.7×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2023139$8K
2024incomplete4,386$317K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 33% 1,024 868 $108K
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 19% 780 627 $61K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 14% 881 303 $46K
90792 Psychiatric diagnostic evaluation with medical services 7.7% 189 160 $25K
99231 Subsequent hospital care, per day, straightforward or low complexity 6.6% 709 190 $21K
99223 Prolong inpt eval add15 m 5.4% 126 105 $18K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 5.1% 304 245 $17K
99239 Hospital discharge day management, more than 30 minutes 3.5% 130 111 $11K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 2.7% 223 196 $9K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 1.4% 54 42 $5K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 48 32 $3K
99221 <1% 23 13 $1K
2 more codes
96127 <1% 18 $790.65
99213 Doctor's office visit, returning patient (routine) <1% 16 $785.04

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)
Same official

Other billing entities under WALTON, LEEA

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.