Medicaid Provider Spending

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

FORSYTH MEMORIAL HOSPITAL, INC

NPI: 1538564232 · MT. AIRY, NC 27030 · Cardiovascular Disease Physician · NPI assigned 10/24/2014

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

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

$60K
Total Medicaid Paid
4,954
Total Claims
4,023
Beneficiaries
21
Codes Billed
2018-01
First Month
2023-11
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date10/24/2014

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
FORSYTH MEMORIAL HOSPITAL INC KING NC $2.46M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,744 $11K
2019 1,641 $11K
2020 454 $8K
2021 177 $6K
2022 524 $15K
2023 414 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,077 1,720 $48K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 296 255 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 47 38 $579.49
99406 34 29 $131.88
99441 17 16 $120.43
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 578 465 $0.00
G8598 Aspirin or another antiplatelet therapy used 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 377 292 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 551 441 $0.00
G8484 Influenza immunization was not administered, reason not given 112 84 $0.00
4040F 12 12 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 13 13 $0.00
1123F 12 12 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 14 12 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 132 101 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 99 77 $0.00
G8432 Depression screening not documented, reason not given 318 245 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 98 71 $0.00
1101F 32 25 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 12 12 $0.00
1036F 93 79 $0.00