Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › WINSTON SALEM › FORSYTH MEMORIAL HOSPITAL, INC.

FORSYTH MEMORIAL HOSPITAL, INC.

NPI: 1447200233 · WINSTON SALEM, NC 27103 · General Acute Care Hospital · NPI assigned 05/11/2006

$40.94M
Total Medicaid Paid
1,172,485
Total Claims
894,851
Beneficiaries
182
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHUTCHENS, ALISHA (FMC PRESIDENT)
NPI Enumeration Date05/11/2006

Related Entities

Other providers sharing the same authorized official: HUTCHENS, ALISHA

ProviderCityStateTotal Paid
FORSYTH MEMORIAL HOSPITAL, INC WINSTON-SALEM NC $446K
FORSYTH MEMORIAL HOSPITAL, INC. WINSTON-SALEM NC $76K
MEDICAL PARK HOSPITAL LLC WINSTON-SALEM NC $58K
FORSYTH MEMORIAL HOSPITAL, INC. WINSTON-SALEM NC $11K
MEDICAL PARK HOSPITAL LLC WINSTON-SALEM NC $38.39

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 134,257 $3.60M
2019 150,559 $3.92M
2020 127,577 $3.55M
2021 178,005 $5.75M
2022 168,646 $7.07M
2023 214,006 $8.11M
2024 199,435 $8.95M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 67,888 61,838 $12.56M
99283 Emergency department visit for the evaluation and management, moderate severity 69,872 64,533 $7.00M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 21,506 19,561 $4.81M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 14,359 13,229 $2.00M
74177 Computed tomography, abdomen and pelvis; with contrast material 3,405 3,140 $1.87M
70450 Computed tomography, head or brain; without contrast material 8,869 8,184 $1.13M
96375 Therapeutic injection; each additional sequential IV push 19,991 17,897 $1.06M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 31,919 29,322 $986K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 38,151 33,753 $925K
80053 Comprehensive metabolic panel 102,261 89,730 $820K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 117,534 101,235 $819K
96361 Intravenous infusion, hydration; each additional hour 18,395 16,515 $768K
71045 Radiologic examination, chest; single view 22,521 20,751 $756K
99282 Emergency department visit for the evaluation and management, low to moderate severity 11,996 11,186 $747K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 8,794 7,542 $408K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 15,561 14,215 $365K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 61,290 50,806 $320K
J3490 Unclassified drugs 239,582 81,097 $286K
71046 Radiologic examination, chest; 2 views 6,836 6,398 $277K
J2405 Injection, ondansetron hydrochloride, per 1 mg 14,450 12,654 $200K
83735 24,837 22,647 $145K
81025 18,552 16,972 $139K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,956 1,747 $137K
84484 12,673 8,610 $132K
J7030 Infusion, normal saline solution , 1000 cc 31,422 27,289 $111K
83690 15,733 14,567 $108K
J1885 Injection, ketorolac tromethamine, per 15 mg 4,993 4,575 $106K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,125 6,630 $103K
81001 33,046 30,339 $101K
87086 Culture, bacterial; quantitative colony count, urine 11,083 10,141 $91K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 12,726 11,619 $82K
D0220 Intraoral - periapical first radiographic image 1,199 830 $72K
80299 4,949 4,170 $71K
D0230 Intraoral - periapical each additional radiographic image 1,133 793 $68K
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 1,016 180 $67K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,698 1,196 $56K
74176 Computed tomography, abdomen and pelvis; without contrast material 156 145 $55K
90853 Group psychotherapy (other than of a multiple-family group) 1,550 244 $54K
J3010 Injection, fentanyl citrate, 0.1 mg 3,240 2,560 $49K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,733 2,474 $47K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 750 580 $47K
72125 Computed tomography, cervical spine; without contrast material 153 145 $46K
G0177 Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) 2,344 394 $44K
D1208 Topical application of fluoride, excluding varnish 728 471 $39K
71275 Computed tomographic angiography, chest, with contrast material 71 70 $35K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 779 708 $35K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 412 412 $35K
D2930 Prefabricated stainless steel crown - primary tooth 302 215 $34K
90791 Psychiatric diagnostic evaluation 367 363 $31K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 450 405 $29K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,841 1,333 $27K
81003 12,398 11,404 $27K
84703 2,465 2,280 $26K
D1120 Prophylaxis - child 495 303 $25K
76819 Fetal biophysical profile; without non-stress testing 735 411 $24K
87631 254 244 $22K
J2704 Injection, propofol, 10 mg 1,395 1,027 $22K
J2270 Injection, morphine sulfate, up to 10 mg 908 819 $21K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,733 1,701 $20K
76820 715 350 $19K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 157 106 $19K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 357 317 $18K
80048 Basic metabolic panel (calcium, ionized) 2,885 2,500 $17K
80143 1,097 848 $17K
J2250 Injection, midazolam hydrochloride, per 1 mg 1,232 1,086 $15K
80179 1,113 864 $15K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 257 161 $14K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 133 120 $14K
85730 3,034 2,820 $13K
92650 250 232 $13K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 493 268 $13K
85610 4,557 4,192 $13K
J1030 Injection, methylprednisolone acetate, 40 mg 553 492 $11K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 344 176 $11K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 591 518 $11K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 467 421 $10K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 164 154 $9K
G0378 Hospital observation service, per hour 133 66 $8K
J7120 Ringers lactate infusion, up to 1000 cc 2,341 1,707 $8K
D2391 Resin-based composite - one surface, posterior, primary or permanent 148 97 $8K
0202U Oncology (prostate), multianalyte, gene expression profiling 15 13 $8K
97161 163 160 $7K
36415 Collection of venous blood by venipuncture 6,165 4,600 $7K
J1170 Injection, hydromorphone, up to 4 mg 302 260 $7K
D7140 Extraction, erupted tooth or exposed root 122 78 $7K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 128 110 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 804 719 $6K
82550 1,171 1,025 $6K
76801 85 79 $5K
D1351 Sealant - per tooth 99 56 $5K
J1010 Injection, methylprednisolone acetate, 1 mg 181 158 $5K
83880 153 141 $4K
76818 114 39 $4K
J7050 Infusion, normal saline solution, 250 cc 1,860 791 $4K
84145 178 171 $4K
85027 859 615 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 58 53 $4K
85379 330 315 $3K
84702 293 272 $3K
83605 262 223 $3K
80061 Lipid panel 913 865 $3K
93296 1,225 1,223 $3K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 15 15 $3K
87430 201 163 $3K
82728 288 268 $3K
96376 110 70 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 91 86 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor 47 46 $2K
87070 240 186 $2K
V2632 Posterior chamber intraocular lens 74 62 $2K
36591 172 86 $2K
87210 439 382 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 191 139 $2K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 50 48 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 82 37 $2K
80306 138 74 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 50 36 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 97 89 $2K
J1200 Injection, diphenhydramine hcl, up to 50 mg 146 122 $2K
92586 49 49 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 18 12 $2K
83550 260 242 $1K
84443 Thyroid stimulating hormone (TSH) 545 470 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 58 54 $1K
83036 Hemoglobin; glycosylated (A1C) 954 873 $1K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 17 14 $1K
83540 260 242 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 46 42 $1K
82553 145 121 $968.32
Q3014 Telehealth originating site facility fee 65 63 $957.66
84112 14 14 $929.20
72100 12 12 $858.64
J8499 Prescription drug, oral, non chemotherapeutic, nos 7,334 3,045 $858.16
J2003 Injection, lidocaine hydrochloride, 1 mg 35 27 $847.80
J2060 Injection, lorazepam, 2 mg 106 65 $814.23
D1110 Prophylaxis - adult 12 12 $813.25
97530 Therapeutic activities, direct patient contact, each 15 minutes 32 14 $762.94
J2550 Injection, promethazine hcl, up to 50 mg 42 36 $602.49
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 12 12 $557.05
81002 232 216 $516.78
99199 Unlisted special service, procedure or report 91 91 $485.00
87040 48 24 $418.92
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 110 109 $393.53
80076 63 58 $382.21
83986 78 73 $376.53
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 52 25 $372.62
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 45 39 $366.83
J1790 Injection, droperidol, up to 5 mg 15 12 $358.99
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 86 85 $355.35
51705 44 38 $353.48
87486 15 15 $352.99
87581 15 15 $352.99
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 15 15 $352.99
87077 26 24 $275.75
82570 140 129 $275.16
J0690 Injection, cefazolin sodium, 500 mg 17 13 $247.89
86901 40 39 $181.37
84156 33 30 $163.09
83615 18 16 $135.10
82962 45 36 $132.28
52000 40 39 $120.63
97535 Self-care/home management training, each 15 minutes 13 12 $120.58
84550 19 17 $106.61
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 104 104 $95.27
96127 111 110 $92.33
J0171 Injection, adrenalin, epinephrine, 0.1 mg 59 50 $81.84
99495 615 610 $78.71
11102 15 15 $57.32
82043 101 96 $56.10
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 45 41 $55.78
J8597 Antiemetic drug, oral, not otherwise specified 1,215 976 $41.42
G0008 Administration of influenza virus vaccine 114 107 $21.78
90686 33 30 $3.32
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 17 16 $0.90
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 15 12 $0.24
A9270 Non-covered item or service 93 26 $0.06
97597 44 25 $0.00
0099U 13 12 $0.00
93280 12 12 $0.00
20610 12 12 $0.00
93017 13 13 $0.00
90662 26 26 $0.00