UNC Physicians Network Group Practices, LLC
UNC Physicians Network Group Practices, LLC was paid $13K by Medicaid between Feb 2020 and Oct 2024, across 7 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 40% of everything it billed.
RALEIGH, NC 27615
Next to other Foot & Ankle Surgery Podiatrist providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 55 | $2K | |
| 2021 | 1,135 | $10K | |
| 2023 | 47 | $394.90 | |
| 2024incomplete | 163 | $844.88 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 40% | 954 | 954 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 39% | 197 | 146 | $5K |
| 99242 | 7.1% | 17 | 14 | $895.13 | |
| 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 | 6.6% | 56 | 38 | $830.05 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 89 | 77 | $417.82 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 34 | 26 | $350.35 |
| 11721 | 1.0% | 53 | 50 | $129.51 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| UNC Physicians Network LLC | Morrisville, NC | $46.82M |
| UNC Physicians Network, LLC | Morrisville, NC | $3.22M |
| UNC Physicians Network LLC | Chapel Hill, NC | $2.78M |
| UNC Physicians Network LLC | Morrisville, NC | $2.40M |
| UNC Physicians Network LLC | Durham, NC | $2.05M |
| UNC Physicians Network LLC | Siler City, NC | $1.37M |
| UNC Physicians Network, LLC | Cary, NC | $863K |
| UNC Physicians Network, LLC | Mebane, NC | $832K |
| UNC Physicians Network, LLC | Holly Springs, NC | $818K |
| UNC Physicians Network LLC | Chapel Hill, NC | $697K |
| UNC Physicians Network, LLC | Knightdale, NC | $613K |
| UNC Physicians Network LLC | Pittsboro, NC | $454K |
| UNC Physicians Network LLC | Durham, NC | $451K |
| UNC Physicians Network, LLC | Raleigh, NC | $415K |
| UNC Physicians Network LLC | Hillsborough, NC | $386K |
| UNC Physicians Network LLC | Sanford, NC | $331K |
| UNC Physicians Network, LLC | Chapel Hill, NC | $298K |
| UNC Physicians Network, LLC | Cary, NC | $91K |
| UNC Physicians Network LLC | Chapel Hill, NC | $77K |
| UNC Physicians Network Group Practices, LLC | Garner, NC | $61K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.