Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Winston Salem › NPI 1942258843
Physician

Forsyth Memorial Hospital INC

Forsyth Memorial Hospital INC was paid $721K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.

33Billing provider infoFORSYTH MEMORIAL HOSPITAL INC
WINSTON SALEM, NC 27106
33aNPI1942258843assigned 05/04/2006
28Total paid$721K
24GClaims52,132
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in North Carolina

Rank by total paid#183 of 960
Median peer was paid$135K
This provider vs. median5.3×

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

$0$10K$20K$30K2018201920202021202220232024
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
20182,215$85K
20191,982$87K
2020982$53K
20215,996$147K
202213,078$183K
202313,220$123K
2024incomplete14,659$44K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 75% 9,425 8,110 $541K
99199 Unlisted special service, procedure or report 18% 40,948 40,546 $132K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.6% 1,015 906 $40K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 101 70 $5K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 79 60 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 57 47 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 38 36 $663.70
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 0% 155 138 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 152 138 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 27 24 $0.00
G8732 No documentation of pain assessment, reason not given 0% 44 38 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 0% 16 12 $0.00
5 more codes
1220F 0% 12 $0.00
G8432 Depression screening not documented, reason not given 0% 18 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 13 $0.00
1036F 0% 17 $0.00
1101F 0% 15 $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)
Same official

Other billing entities under WALTON, LEEA

Full network →

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