Medicaid Provider Spending

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

FORSYTH MEMORIAL HOSPITAL INC

NPI: 1548228471 · THOMASVILLE, NC 27360 · 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

$609K
Total Medicaid Paid
48,645
Total Claims
46,490
Beneficiaries
29
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
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 5,451 $91K
2019 4,710 $96K
2020 2,280 $71K
2021 5,042 $111K
2022 10,099 $118K
2023 10,454 $90K
2024 10,609 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,561 7,486 $442K
99199 Unlisted special service, procedure or report 31,487 31,043 $111K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 925 858 $28K
99215 Prolong outpt/office vis 291 264 $20K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 199 181 $3K
90674 62 42 $1K
99442 43 43 $1K
90686 76 76 $1K
99443 17 16 $771.29
99441 29 27 $410.52
1036F 701 642 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 377 353 $0.00
G8732 No documentation of pain assessment, reason not given 846 782 $0.00
G8432 Depression screening not documented, reason not given 570 529 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 100 91 $0.00
3017F 152 139 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 293 272 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 120 106 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 12 12 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 51 48 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 66 60 $0.00
1101F 15 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,627 1,518 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 1,413 1,316 $0.00
G8482 Influenza immunization administered or previously received 116 112 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 152 144 $0.00
G8484 Influenza immunization was not administered, reason not given 124 115 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 206 191 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 14 12 $0.00