NP / PA
Forsyth Memorial Hospital INC
Forsyth Memorial Hospital INC was paid $2.23M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoFORSYTH MEMORIAL HOSPITAL INC
YADKINVILLE, NC 27055
YADKINVILLE, NC 27055
33aNPI1730147588assigned 05/02/2006
33bProvider typePhysician Assistant
28Total paid$2.23M
24GClaims108,485
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in North Carolina
Rank by total paid#9 of 103
Median peer was paid$24K
This provider vs. median94×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,642 | $226K | |
| 2019 | 7,732 | $278K | |
| 2020 | 4,389 | $204K | |
| 2021 | 17,237 | $436K | |
| 2022 | 26,236 | $639K | |
| 2023 | 22,769 | $385K | |
| 2024incomplete | 21,480 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 68% | 24,323 | 20,511 | $1.52M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.6% | 4,149 | 3,370 | $215K |
| 99199 | Unlisted special service, procedure or report | 9.6% | 64,950 | 64,045 | $215K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.2% | 1,872 | 1,531 | $93K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.0% | 693 | 600 | $45K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.8% | 2,048 | 1,672 | $41K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.2% | 3,062 | 2,709 | $27K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 705 | 576 | $21K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,409 | 682 | $19K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 261 | 207 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 370 | 352 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 296 | 283 | $4K |
26 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 42 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 130 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 24 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 882 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 21 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 206 | $1K |
| 90686 | <1% | 229 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 26 | $1K |
| 99406 | <1% | 46 | $330.88 | |
| 96127 | <1% | 68 | $160.39 | |
| 90461 | <1% | 21 | $150.68 | |
| 81003 | <1% | 77 | $142.41 | |
| 99173 | <1% | 91 | $11.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 149 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 150 | $0.00 |
| 1036F | 0% | 100 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 42 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 28 | $0.00 |
| 3017F | 0% | 12 | $0.00 | |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 779 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 946 | $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% | 57 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 82 | $0.00 |
| G8509 | Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given | 0% | 83 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 38 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 18 | $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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.