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

Forsyth Memorial Hospital INC

Forsyth Memorial Hospital INC was paid $56K by Medicaid between Jan 2018 and Mar 2022, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 98% of everything it billed.

33Billing provider infoFORSYTH MEMORIAL HOSPITAL INC
WINSTON SALEM, NC 27103
33aNPI1285824193assigned 07/26/2007
33bProvider typeRheumatology Physician
28Total paid$56K
24GClaims2,131
24DCodes billed11
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers

Next to other Rheumatology Physician providers in North Carolina

Rank by total paid#10 of 27
Median peer was paid$19K
This provider vs. median2.9×

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 DAVIS, SHALA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018694$11K
2019622$9K
202090$2K
2021604$27K
2022121$7K
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 98% 1,346 1,149 $55K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.1% 44 36 $1K
99199 Unlisted special service, procedure or report <1% 38 38 $195.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 19 12 $0.00
1036F 0% 40 25 $0.00
G8432 Depression screening not documented, reason not given 0% 54 38 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 20 13 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 248 189 $0.00
G8509 Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given 0% 90 63 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 0% 220 160 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 12 12 $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 officialDAVIS, SHALA (RCS MANAGER)
Same official

Other billing entities under DAVIS, SHALA

Full network →
ProviderLocationPaid
Novant Medical Group, INC.Charlotte, NC$2.82M
Forsyth Memorial Hospital INCLewisville, NC$338K
Forsyth Memorial Hospital INCLexington, NC$299K
Novant Medical Group, INC.Charlotte, NC$170K
Novant Medical Group INCCharlotte, NC$128K
Forsyth Memorial Hospital, INCClemmons, NC$121K
Novant Medical Group. INC.Lexington, NC$113K
Novant Medical Group, INC.Charlotte, NC$106K
Novant Medical Group, INCKernersville, NC$104K
Novant Medical Group, INC.Matthews, NC$88K
Novant Medical Group, INCCornelius, NC$73K
NMG Affiliate Practice I, LLCGainesville, VA$65K
Novant Health Medical Group, LLCIndian Land, SC$61K
Novant Medical Group, INC.Rock Hill, SC$50K
Novant Medical Group. INC.Thomasville, NC$49K
Forsyth Memorial Hospital INCWinston Salem, NC$47K
Forsyth Memorial Hospital INCThomasville, NC$40K
Novant Medical Group INCCharlotte, NC$38K
Novant Medical Group, INC.Charlotte, NC$35K
Novant Medical Group, INC.Durham, NC$26K

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