Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Forsyth Memorial Hospital, INC

Forsyth Memorial Hospital, INC was paid $500K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 78% of everything it billed.

33Billing provider infoFORSYTH MEMORIAL HOSPITAL, INC
THOMASVILLE, NC 27360
33aNPI1285682351assigned 05/04/2006
33bProvider typeNurse Practitioner
28Total paid$500K
24GClaims39,312
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Nurse Practitioner providers in North Carolina

Rank by total paid#18 of 93
Median peer was paid$18K
This provider vs. median27×

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$5.0K$10K$15K2018201920202021202220232024
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
20183,360$56K
20192,781$62K
20201,404$56K
20214,212$94K
20228,045$112K
20238,511$84K
2024incomplete10,999$35K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 78% 7,798 7,027 $389K
99199 Unlisted special service, procedure or report 19% 26,929 26,583 $94K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.9% 265 221 $10K
36415 Collection of venous blood by venipuncture <1% 1,038 924 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 264 221 $2K
99406 <1% 193 166 $2K
90686 <1% 13 13 $215.15
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 13 13 $172.90
1036F 0% 162 151 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 87 80 $0.00
G8732 No documentation of pain assessment, reason not given 0% 466 448 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 211 198 $0.00
8 more codes
G8432 Depression screening not documented, reason not given 0% 124 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 0% 16 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 0% 14 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 887 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 0% 722 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 71 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 26 $0.00
G8509 Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given 0% 13 $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.

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.