Forsyth Memorial Hospital INC
Forsyth Memorial Hospital INC was paid $383K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.
PILOT MOUNTAIN, NC 27041
Next to other Internal Medicine Physician providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,547 | $52K | |
| 2019 | 1,934 | $81K | |
| 2020 | 915 | $43K | |
| 2021 | 2,719 | $61K | |
| 2022 | 5,987 | $73K | |
| 2023 | 7,623 | $42K | |
| 2024incomplete | 11,011 | $31K |
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 | 65% | 4,759 | 4,228 | $251K |
| 99199 | Unlisted special service, procedure or report | 20% | 24,874 | 24,668 | $78K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 946 | 822 | $40K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 258 | 166 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 243 | 120 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 100 | 100 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 15 | 12 | $789.16 |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 13 | 12 | $726.44 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 12 | 12 | $364.99 |
| 90686 | <1% | 97 | 97 | $253.65 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 15 | 12 | $215.81 |
| 36415 | Collection of venous blood by venipuncture | <1% | 77 | 65 | $178.25 |
7 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 17 | $162.36 |
| 99173 | <1% | 12 | $1.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 125 | $0.00 |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 126 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 15 | $0.00 |
| 1036F | 0% | 14 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.