Medicaid Provider Spending

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

FORSYTH MEMORIAL HOSPITAL INC

NPI: 1730147588 · YADKINVILLE, NC 27055 · Physician Assistant · 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

$2.23M
Total Medicaid Paid
108,485
Total Claims
100,570
Beneficiaries
38
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
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
NOVANT HEALTH MEDICAL GROUP, LLC HUNTERSVILLE NC $1.20M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 21,480 $63K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,323 20,511 $1.52M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,149 3,370 $215K
99199 Unlisted special service, procedure or report 64,950 64,045 $215K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,872 1,531 $93K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 693 600 $45K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,048 1,672 $41K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,062 2,709 $27K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 705 576 $21K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,409 682 $19K
90460 Immunization administration through 18 years of age via any route, first or only component 261 207 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 370 352 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 296 283 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 42 36 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 130 123 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 24 15 $3K
36415 Collection of venous blood by venipuncture 882 837 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 21 12 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 206 196 $1K
90686 229 221 $1K
90472 Immunization administration, each additional vaccine (list separately) 26 26 $1K
99406 46 45 $330.88
96127 68 62 $160.39
90461 21 12 $150.68
81003 77 65 $142.41
99173 91 73 $11.00
G8754 Most recent diastolic blood pressure < 90 mmhg 149 140 $0.00
G8432 Depression screening not documented, reason not given 150 141 $0.00
1036F 100 93 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 42 38 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 28 28 $0.00
3017F 12 12 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 779 723 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 946 873 $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 57 53 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 82 77 $0.00
G8509 Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given 83 79 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 38 37 $0.00
G8482 Influenza immunization administered or previously received 18 15 $0.00