Physician
Wakemed Specialists Group LLC
Wakemed Specialists Group LLC was paid $5.48M by Medicaid between Aug 2019 and Nov 2024, across 22 billing codes. Its largest line is 59409, Vaginal delivery only (with or without episiotomy and/or forceps) — 74% of everything it billed.
33Billing provider infoWAKEMED SPECIALISTS GROUP LLC
RALEIGH, NC 27610
RALEIGH, NC 27610
33aNPI1063076453assigned 05/01/2019
33bProvider typeGynecology Physician
28Total paid$5.48M
24GClaims44,575
24DCodes billed22
24AFirst – last monthAug 2019 – Nov 2024
Compared with peers
Next to other Gynecology Physician providers in North Carolina
Rank by total paid#1 of 16
Median peer was paid$40K
This provider vs. median136×
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 | 4,518 | $576K | |
| 2020 | 12,349 | $1.43M | |
| 2021 | 8,419 | $1.17M | |
| 2022 | 8,053 | $888K | |
| 2023 | 6,049 | $780K | |
| 2024incomplete | 5,187 | $636K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 74% | 6,393 | 5,774 | $4.07M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.5% | 11,625 | 8,594 | $466K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 5.1% | 2,974 | 2,631 | $277K |
| 99238 | Hospital discharge day management, 30 minutes or less | 5.1% | 4,765 | 4,369 | $277K |
| 59025 | Fetal non-stress test | 4.2% | 12,133 | 9,520 | $228K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 1,373 | 1,256 | $80K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 1,341 | 1,061 | $30K |
| 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 | <1% | 382 | 335 | $20K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 98 | 64 | $7K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 160 | 140 | $7K |
| 54150 | <1% | 27 | 26 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 507 | 348 | $5K |
10 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 56 | $3K |
| 90686 | <1% | 212 | $2K | |
| 99285 | Emergency room visit (most serious) | <1% | 15 | $2K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 48 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 36 | $607.60 |
| 81025 | <1% | 78 | $495.89 | |
| 90715 | <1% | 79 | $128.07 | |
| 0500F | 0% | 125 | $0.00 | |
| 0503F | 0% | 24 | $0.00 | |
| 0502F | 0% | 2,124 | $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 officialPERRY, KAREN (SLED)
| Provider | Location | Paid |
|---|---|---|
| Wakemed Specialists Group, LLC | Raleigh, NC | $290K |
| Wakemed Specialists Group, LLC | Raleigh, NC | $141K |
| Wakemed Specialists Group LLC | Raleigh, NC | $120K |
| Wakemed Specialists Group, LLC | Raleigh, NC | $68K |
| Wake Specialty Physicians LLC | Raleigh, NC | $55K |
| Sparta Community Unit Dist 140 of Randolph County | Sparta, IL | $54K |
| Wake Specialty Physicians LLC | Raleigh, NC | $11K |
| Wake Specialty Physicians, LLC | Apex, NC | $1K |
| Wake Specialty Physicians, LLC | Raleigh, NC | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.