FORSYTH MEMORIAL HOSPITAL INC
NPI: 1548584162
· WINSTON SALEM, NC 27101
· 207Q00000X
$135K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,240 |
$90K |
| 2019 |
1,043 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
2,706 |
2,078 |
$107K |
| 99213 |
|
725 |
634 |
$24K |
| 90471 |
|
102 |
98 |
$2K |
| 96110 |
|
101 |
100 |
$857.49 |
| 90472 |
|
16 |
16 |
$511.25 |
| 87804 |
|
30 |
15 |
$423.90 |
| 90686 |
|
20 |
19 |
$33.10 |
| G8541 |
No doc cur funct assess |
157 |
133 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
208 |
180 |
$0.00 |
| 99173 |
|
45 |
29 |
$0.00 |
| 92552 |
|
45 |
29 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| G8484 |
Flu immunize no admin |
34 |
28 |
$0.00 |
| 1036F |
|
43 |
37 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
20 |
17 |
$0.00 |
| G8432 |
Dep scr not doc, rng |
19 |
18 |
$0.00 |