Physician
Wake Forest Health Network LLC
Wake Forest Health Network LLC was paid $4.62M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 33% of everything it billed.
33Billing provider infoWAKE FOREST HEALTH NETWORK LLC
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
33aNPI1063647394assigned 05/15/2009
33bProvider typePediatrics Physician
28Total paid$4.62M
24GClaims278,005
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#82 of 433
Median peer was paid$942K
This provider vs. median4.9×
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.
Entity ProliferationAuthorized official GREVEN, CRAIG controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2018 | 8,852 | $286K | |
| 2019 | 11,231 | $404K | |
| 2020 | 8,891 | $282K | |
| 2021 | 31,225 | $648K | |
| 2022 | 67,707 | $1.02M | |
| 2023 | 77,385 | $1.05M | |
| 2024incomplete | 72,714 | $937K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 33% | 183,926 | 98,124 | $1.51M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 21,836 | 19,662 | $1.35M |
| 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 | 14% | 7,286 | 6,667 | $665K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.6% | 2,259 | 2,077 | $212K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.5% | 11,375 | 10,286 | $209K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.9% | 1,541 | 1,297 | $136K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.8% | 4,019 | 3,600 | $131K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.1% | 2,825 | 2,490 | $97K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 977 | 904 | $90K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 8,102 | 7,350 | $69K |
| 96127 | 1.4% | 15,761 | 14,301 | $63K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,722 | 1,280 | $35K |
27 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,320 | $17K |
| 99051 | <1% | 476 | $11K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 80 | $7K |
| 90474 | <1% | 228 | $4K | |
| 90686 | <1% | 3,515 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 73 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 51 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 59 | $2K |
| 92551 | <1% | 4,461 | $999.23 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 31 | $984.06 |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 15 | $924.56 |
| 36415 | Collection of venous blood by venipuncture | <1% | 340 | $892.41 |
| D1206 | Topical application of fluoride varnish | <1% | 31 | $434.42 |
| 96160 | <1% | 76 | $241.35 | |
| 99173 | <1% | 1,666 | $226.82 | |
| 96161 | <1% | 15 | $37.40 | |
| 90656 | <1% | 282 | $19.55 | |
| 92552 | <1% | 85 | $16.15 | |
| 90677 | 0% | 122 | $0.00 | |
| 90680 | 0% | 245 | $0.00 | |
| 90647 | 0% | 310 | $0.00 | |
| 90723 | 0% | 319 | $0.00 | |
| 36416 | 0% | 15 | $0.00 | |
| 90670 | 0% | 728 | $0.00 | |
| 1159F | 0% | 381 | $0.00 | |
| 1160F | 0% | 381 | $0.00 | |
| 90633 | 0% | 71 | $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 officialGREVEN, CRAIG (SR VP CLINICAL OPERATIONS)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.