Physician
Wake Forest Health Network, LLC
Wake Forest Health Network, LLC was paid $242K by Medicaid between Jan 2019 and Nov 2024, across 8 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 87% of everything it billed.
33Billing provider infoWAKE FOREST HEALTH NETWORK, LLC
GREENSBORO, NC 27401
GREENSBORO, NC 27401
33aNPI1003114992assigned 03/02/2011
33bProvider typeOphthalmology Physician
28Total paid$242K
24GClaims31,046
24DCodes billed8
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in North Carolina
Rank by total paid#28 of 118
Median peer was paid$22K
This provider vs. median11×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 253 | $7K | |
| 2020 | 111 | $5K | |
| 2021 | 21,138 | $145K | |
| 2022 | 6,285 | $49K | |
| 2023 | 3,078 | $20K | |
| 2024incomplete | 181 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 87% | 30,400 | 19,580 | $210K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 6.9% | 183 | 177 | $17K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 3.5% | 111 | 99 | $8K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.8% | 124 | 118 | $4K |
| 92370 | <1% | 146 | 143 | $1K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 43 | 43 | $838.92 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 12 | 12 | $548.75 |
| 92015 | Determination of refractive state | <1% | 27 | 27 | $484.20 |
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 officialHOWERTON, RUSSELL (SR VP NETWORK PHYS & HS CMO)
| Provider | Location | Paid |
|---|---|---|
| Wake Forest Health Network LLC | Granite Falls, NC | $318K |
| Wake Forest Health Network LLC | High Point, NC | $56K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.