FORSYTH MEMORIAL HOSPITAL INC
NPI: 1861632788
· PILOT MOUNTAIN, NC 27041
· 207R00000X
$383K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,547 |
$52K |
| 2019 |
1,934 |
$81K |
| 2020 |
915 |
$43K |
| 2021 |
2,719 |
$61K |
| 2022 |
5,987 |
$73K |
| 2023 |
7,623 |
$42K |
| 2024 |
11,011 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
4,759 |
4,228 |
$251K |
| 99199 |
|
24,874 |
24,668 |
$78K |
| 99213 |
|
946 |
822 |
$40K |
| 99212 |
|
258 |
166 |
$6K |
| 87804 |
|
243 |
120 |
$3K |
| 90471 |
|
100 |
100 |
$2K |
| 87635 |
|
15 |
12 |
$789.16 |
| 87502 |
|
13 |
12 |
$726.44 |
| 90460 |
|
12 |
12 |
$364.99 |
| 90686 |
|
97 |
97 |
$253.65 |
| G2023 |
Specimen collect covid-19 |
15 |
12 |
$215.81 |
| 36415 |
|
77 |
65 |
$178.25 |
| 85025 |
|
17 |
14 |
$162.36 |
| 99173 |
|
12 |
12 |
$1.00 |
| G8427 |
Docrev cur meds by elig clin |
125 |
112 |
$0.00 |
| G8541 |
No doc cur funct assess |
126 |
113 |
$0.00 |
| G8484 |
Flu immunize no admin |
15 |
13 |
$0.00 |
| 1036F |
|
14 |
12 |
$0.00 |
| G8432 |
Dep scr not doc, rng |
18 |
16 |
$0.00 |