Medicaid Provider Spending

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

FORSYTH MEMORIAL HOSPITAL INC

NPI: 1275591091 · MOCKSVILLE, NC 27028 · Family Medicine Physician · NPI assigned 05/02/2006

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

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

$1.18M
Total Medicaid Paid
62,353
Total Claims
58,500
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date05/02/2006

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
2018 4,404 $124K
2019 3,359 $151K
2020 3,126 $154K
2021 7,770 $241K
2022 14,341 $263K
2023 14,725 $200K
2024 14,628 $44K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,272 12,955 $847K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,615 2,991 $157K
99199 Unlisted special service, procedure or report 40,638 40,039 $134K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 269 260 $13K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 308 302 $6K
90834 Psychotherapy, 45 minutes with patient 168 66 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 173 167 $3K
99215 Prolong outpt/office vis 53 51 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 66 66 $2K
99443 51 30 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 88 44 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 121 104 $1K
99442 32 26 $900.39
90686 122 116 $514.05
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 37 35 $468.52
90674 12 12 $204.80
85027 12 12 $96.88
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 527 490 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 462 429 $0.00
G8482 Influenza immunization administered or previously received 13 13 $0.00
G8732 No documentation of pain assessment, reason not given 211 192 $0.00
1036F 24 24 $0.00
G8432 Depression screening not documented, reason not given 38 37 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 29 27 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 12 12 $0.00