Physician
Forsyth Memorial Hospital INC
Forsyth Memorial Hospital INC was paid $2.46M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoFORSYTH MEMORIAL HOSPITAL INC
KING, NC 27021
KING, NC 27021
33aNPI1497713234assigned 05/02/2006
33bProvider typeFamily Medicine Physician
28Total paid$2.46M
24GClaims145,268
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#45 of 960
Median peer was paid$135K
This provider vs. median18×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 11,596 | $382K | |
| 2019 | 9,134 | $365K | |
| 2020 | 4,370 | $196K | |
| 2021 | 29,191 | $497K | |
| 2022 | 34,792 | $574K | |
| 2023 | 29,692 | $374K | |
| 2024incomplete | 26,493 | $75K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 16,601 | 14,722 | $983K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 12,484 | 10,838 | $565K |
| 99199 | Unlisted special service, procedure or report | 14% | 96,853 | 95,424 | $337K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 1,176 | 1,028 | $111K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.0% | 1,589 | 1,330 | $74K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 730 | 652 | $74K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 655 | 540 | $60K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.8% | 704 | 565 | $45K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.6% | 817 | 626 | $41K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 306 | 263 | $33K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 1,807 | 898 | $25K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 637 | 563 | $22K |
37 more codes
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,085 | $21K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 967 | $18K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,783 | $16K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 374 | $10K |
| D1206 | Topical application of fluoride varnish | <1% | 636 | $10K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 183 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 286 | $4K |
| 87634 | <1% | 68 | $2K | |
| 90686 | <1% | 764 | $2K | |
| 90461 | <1% | 951 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 154 | $1K |
| 90474 | <1% | 24 | $470.35 | |
| 90674 | <1% | 182 | $458.34 | |
| 90734 | <1% | 93 | $414.70 | |
| 99173 | <1% | 1,225 | $138.34 | |
| 90715 | <1% | 63 | $93.87 | |
| 92551 | <1% | 453 | $44.90 | |
| 92552 | <1% | 21 | $16.47 | |
| 99177 | <1% | 34 | $7.98 | |
| 90710 | 0% | 121 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 331 | $0.00 |
| 90648 | 0% | 129 | $0.00 | |
| 90670 | 0% | 391 | $0.00 | |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 210 | $0.00 |
| G8509 | Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given | 0% | 26 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 53 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 15 | $0.00 |
| 90696 | 0% | 14 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 40 | $0.00 |
| 90680 | 0% | 42 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 40 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 25 | $0.00 |
| 90698 | 0% | 37 | $0.00 | |
| 90744 | 0% | 18 | $0.00 | |
| 90723 | 0% | 45 | $0.00 | |
| 3017F | 0% | 14 | $0.00 | |
| 90647 | 0% | 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 officialWALTON, LEEA (RCS MANAGER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.