Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Clemmons › NPI 1891828562
Physician

Forsyth Memorial Hospital, INC

Forsyth Memorial Hospital, INC was paid $121K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoFORSYTH MEMORIAL HOSPITAL, INC
CLEMMONS, NC 27012
33aNPI1891828562assigned 03/13/2007
33bProvider typePediatrics Physician
28Total paid$121K
24GClaims14,478
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in North Carolina

Rank by total paid#299 of 433
Median peer was paid$942K
This provider vs. median0.1×

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 DAVIS, SHALA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2018256$8K
2019199$8K
202096$4K
20211,649$23K
20223,845$38K
20234,058$27K
2024incomplete4,375$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 54% 1,320 1,027 $66K
99199 Unlisted special service, procedure or report 34% 12,867 12,739 $41K
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 10% 167 132 $12K
90460 Immunization administration through 18 years of age via any route, first or only component 1.0% 33 33 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 28 27 $558.30
90686 <1% 63 63 $238.45

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 officialDAVIS, SHALA (RCS MANAGER)
Same official

Other billing entities under DAVIS, SHALA

Full network →
ProviderLocationPaid
Novant Medical Group, INC.Charlotte, NC$2.82M
Forsyth Memorial Hospital INCLewisville, NC$338K
Forsyth Memorial Hospital INCLexington, NC$299K
Novant Medical Group, INC.Charlotte, NC$170K
Novant Medical Group INCCharlotte, NC$128K
Novant Medical Group. INC.Lexington, NC$113K
Novant Medical Group, INC.Charlotte, NC$106K
Novant Medical Group, INCKernersville, NC$104K
Novant Medical Group, INC.Matthews, NC$88K
Novant Medical Group, INCCornelius, NC$73K
NMG Affiliate Practice I, LLCGainesville, VA$65K
Novant Health Medical Group, LLCIndian Land, SC$61K
Forsyth Memorial Hospital INCWinston Salem, NC$56K
Novant Medical Group, INC.Rock Hill, SC$50K
Novant Medical Group. INC.Thomasville, NC$49K
Forsyth Memorial Hospital INCWinston Salem, NC$47K
Forsyth Memorial Hospital INCThomasville, NC$40K
Novant Medical Group INCCharlotte, NC$38K
Novant Medical Group, INC.Charlotte, NC$35K
Novant Medical Group, INC.Durham, NC$26K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.