Medicaid Provider Spending

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

FORSYTH MEMORIAL HOSPITAL, INC

NPI: 1285682351 · THOMASVILLE, NC 27360 · Nurse Practitioner · NPI assigned 05/04/2006

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

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

$500K
Total Medicaid Paid
39,312
Total Claims
37,827
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date05/04/2006

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 3,360 $56K
2019 2,781 $62K
2020 1,404 $56K
2021 4,212 $94K
2022 8,045 $112K
2023 8,511 $84K
2024 10,999 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,798 7,027 $389K
99199 Unlisted special service, procedure or report 26,929 26,583 $94K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 265 221 $10K
36415 Collection of venous blood by venipuncture 1,038 924 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 264 221 $2K
99406 193 166 $2K
90686 13 13 $215.15
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $172.90
1036F 162 151 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 87 80 $0.00
G8732 No documentation of pain assessment, reason not given 466 448 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 211 198 $0.00
G8432 Depression screening not documented, reason not given 124 117 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 16 12 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 14 13 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 887 846 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 722 690 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 71 66 $0.00
G8484 Influenza immunization was not administered, reason not given 26 25 $0.00
G8509 Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given 13 13 $0.00