Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Personalized Hematology-Oncology of Wake Forest PLLC

Personalized Hematology-Oncology of Wake Forest PLLC was paid $121K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is Q0138, Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) — 27% of everything it billed.

33Billing provider infoPERSONALIZED HEMATOLOGY-ONCOLOGY OF WAKE FOREST PLLC
WAKE FOREST, NC 27587
33aNPI1053679944assigned 04/27/2012
28Total paid$121K
24GClaims8,855
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in North Carolina

Rank by total paid#264 of 616
Median peer was paid$74K
This provider vs. median1.6×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
20182,446$45K
20192,276$42K
20201,397$11K
20211,169$6K
2022243$2K
2023456$6K
2024incomplete868$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 27% 295 121 $32K
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 23% 801 410 $28K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 14% 765 295 $17K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 7.6% 357 150 $9K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.6% 402 180 $9K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4.4% 1,508 1,162 $5K
83550 4.2% 1,247 1,021 $5K
80048 Basic metabolic panel (calcium, ionized) 4.0% 1,263 1,029 $5K
82728 3.3% 797 688 $4K
83540 3.1% 1,247 1,020 $4K
J1750 Injection, iron dextran, 50 mg <1% 44 12 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 14 13 $166.05
3 more codes
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 17 $156.26
36415 Collection of venous blood by venipuncture <1% 83 $75.28
83735 <1% 15 $34.68

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 officialCASTILLOS, LUMINITA (PRACTICE MANAGER)