Medicaid Provider Spending

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

FORSYTH MEMORIAL HOSPITAL INC

NPI: 1497713234 · KING, NC 27021 · Family Medicine Physician · NPI assigned 05/02/2006

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

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

$2.46M
Total Medicaid Paid
145,268
Total Claims
137,012
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date05/02/2006

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
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
NOVANT HEALTH MEDICAL GROUP, LLC HUNTERSVILLE NC $1.20M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 26,493 $75K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,601 14,722 $983K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,484 10,838 $565K
99199 Unlisted special service, procedure or report 96,853 95,424 $337K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,176 1,028 $111K
90460 Immunization administration through 18 years of age via any route, first or only component 1,589 1,330 $74K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 730 652 $74K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 655 540 $60K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 704 565 $45K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 817 626 $41K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 306 263 $33K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,807 898 $25K
D0145 Oral evaluation for a patient under three years of age 637 563 $22K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,085 846 $21K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 967 935 $18K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,783 1,562 $16K
90472 Immunization administration, each additional vaccine (list separately) 374 365 $10K
D1206 Topical application of fluoride varnish 636 562 $10K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 183 136 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 286 272 $4K
87634 68 54 $2K
90686 764 719 $2K
90461 951 784 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 154 128 $1K
90474 24 24 $470.35
90674 182 152 $458.34
90734 93 76 $414.70
99173 1,225 1,073 $138.34
90715 63 50 $93.87
92551 453 408 $44.90
92552 21 17 $16.47
99177 34 25 $7.98
90710 121 107 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 331 318 $0.00
90648 129 88 $0.00
90670 391 321 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 210 201 $0.00
G8509 Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given 26 26 $0.00
G8484 Influenza immunization was not administered, reason not given 53 51 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 15 14 $0.00
90696 14 13 $0.00
G8432 Depression screening not documented, reason not given 40 38 $0.00
90680 42 36 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 40 38 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 25 24 $0.00
90698 37 26 $0.00
90744 18 12 $0.00
90723 45 38 $0.00
3017F 14 12 $0.00
90647 12 12 $0.00