Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WAKEMED SPECIALISTS GROUP, LLC

NPI: 1053976415 · RALEIGH, NC 27610 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · NPI assigned 05/01/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JAYOUSSI, MARIA controls 20+ related entities in our dataset. Read more

$308K
Total Medicaid Paid
6,337
Total Claims
5,461
Beneficiaries
10
Codes Billed
2019-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAYOUSSI, MARIA (EXECUTIVE DIRECTOR OF FINANCE)
NPI Enumeration Date05/01/2019

Related Entities

Other providers sharing the same authorized official: JAYOUSSI, MARIA

ProviderCityStateTotal Paid
WAKE SPECIALTY PHYSICIANS, LLC RALEIGH NC $14.80M
REX HOSPITAL INC RALEIGH NC $5.39M
WAKEMED SPECIALISTS GROUP, LLC RALEIGH NC $4.37M
WAKEMED SPECIALISTS GROUP LLC RALEIGH NC $3.65M
REX HOSPITAL INC RALEIGH NC $3.40M
WAKEMED SPECIALISTS GROUP, LLC RALEIGH NC $2.00M
WAKEMED SPECIALISTS GROUP, LLC RALEIGH NC $1.65M
WAKEMED SPECIALISTS GROUP, LLC RALEIGH NC $1.41M
WAKEMED SPECIALISTS GROUP, LLC RALEIGH NC $790K
WAKEMED SPECIALISTS GROUP, LLC RALEIGH NC $749K
REX HOSPITAL INC KNIGHTDALE NC $742K
WAKEMED SPECIALISTS GROUP, LLC RALEIGH NC $581K
WAKEMED SPECIALISTS GROUP, LLC RALEIGH NC $514K
REX HOSPITAL INC RALEIGH NC $362K
REX HOSPITAL INC RALEIGH NC $349K
REX HOSPITAL INC RALEIGH NC $309K
REX HOSPITAL INC RALEIGH NC $261K
REX HOSPITAL INC GARNER NC $258K
WAKEMED SPECIALISTS GROUP, LLC RALEIGH NC $184K
REX HOSPITAL INC RALEIGH NC $177K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 615 $23K
2020 1,162 $40K
2021 677 $25K
2022 674 $30K
2023 1,363 $72K
2024 1,846 $117K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,310 2,087 $100K
99244 Office or other outpatient consultation, moderate to high complexity 716 642 $92K
99243 414 384 $37K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 236 218 $26K
92567 2,171 1,699 $22K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 297 268 $20K
42820 Tonsillectomy and adenoidectomy; younger than age 12 28 25 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 54 49 $3K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 14 12 $2K
92579 97 77 $2K