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

Forsyth Memorial Hospital, INC

Forsyth Memorial Hospital, INC was paid $60K by Medicaid between Jan 2018 and Nov 2023, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.

33Billing provider infoFORSYTH MEMORIAL HOSPITAL, INC
MT. AIRY, NC 27030
33aNPI1538564232assigned 10/24/2014
28Total paid$60K
24GClaims4,954
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers

Next to other Cardiovascular Disease Physician providers in North Carolina

Rank by total paid#54 of 109
Median peer was paid$58K
This provider vs. median1.0×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
20181,744$11K
20191,641$11K
2020454$8K
2021177$6K
2022524$15K
2023414$9K
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 80% 2,077 1,720 $48K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 18% 296 255 $11K
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% 47 38 $579.49
99406 <1% 34 29 $131.88
99441 <1% 17 16 $120.43
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 578 465 $0.00
G8598 Aspirin or another antiplatelet therapy used 0% 30 24 $0.00
G8442 Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter 0% 377 292 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 0% 551 441 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 112 84 $0.00
4040F 0% 12 12 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 13 13 $0.00
9 more codes
1123F 0% 12 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 0% 14 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 0% 132 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 99 $0.00
G8432 Depression screening not documented, reason not given 0% 318 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 98 $0.00
1101F 0% 32 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 12 $0.00
1036F 0% 93 $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.