Medicaid Provider Spending

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

WAKE FOREST HEALTH NETWORK LLC

NPI: 1063647394 · WINSTON SALEM, NC 27103 · Pediatrics Physician · NPI assigned 05/15/2009

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

Authorized official GREVEN, CRAIG controls 20+ related entities in our dataset. Read more

$4.62M
Total Medicaid Paid
278,005
Total Claims
182,078
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGREVEN, CRAIG (SR VP CLINICAL OPERATIONS)
NPI Enumeration Date05/15/2009

Related Entities

Other providers sharing the same authorized official: GREVEN, CRAIG

ProviderCityStateTotal Paid
WAKE FOREST HEALTH NETWORK LLC HIGH POINT NC $5.44M
WAKE FOREST HEALTH NETWORK LLC GREENSBORO NC $3.78M
WAKE FOREST HEALTH NETWORK LLC KERNERSVILLE NC $2.25M
WAKE FOREST HEALTH NETWORK LLC KERNERSVILLE NC $1.81M
WAKE FOREST HEALTH NETWORK LLC ASHEBORO NC $1.60M
WAKE FOREST HEALTH NETWORK LLC BERMUDA RUN NC $1.02M
WAKE FOREST HEALTH NETWORK LLC ASHEBORO NC $907K
WAKE FOREST HEALTH NETWORK LLC HIGH POINT NC $814K
WAKE FOREST HEALTH NETWORK LLC HIGH POINT NC $767K
WAKE FOREST HEALTH NETWORK LLC HIGH POINT NC $741K
WAKE FOREST HEALTH NETWORK LLC ASHEBORO NC $730K
WAKE FOREST HEALTH NETWORK LLC ASHEBORO NC $722K
WAKE FOREST HEALTH NETWORK LLC JONESVILLE NC $683K
WAKE FOREST HEALTH NETWORK LLC CONOVER NC $669K
WAKE FOREST HEALTH NETWORK, LLC HIGH POINT NC $628K
WAKE FOREST HEALTH NETWORK LLC ARCHDALE NC $552K
WAKE FOREST HEALTH NETWORK LLC GREENSBORO NC $544K
WAKE FOREST HEALTH NETWORK LLC HIGH POINT NC $444K
WAKE FOREST HEALTH NETWORK LLC HIGH POINT NC $427K
WAKE FOREST HEALTH NETWORK LLC THOMASVILLE NC $403K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 72,714 $937K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 183,926 98,124 $1.51M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,836 19,662 $1.35M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,286 6,667 $665K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,259 2,077 $212K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 11,375 10,286 $209K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,541 1,297 $136K
90472 Immunization administration, each additional vaccine (list separately) 4,019 3,600 $131K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,825 2,490 $97K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 977 904 $90K
96110 Developmental screening, with scoring and documentation, per standardized instrument 8,102 7,350 $69K
96127 15,761 14,301 $63K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,722 1,280 $35K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,320 1,223 $17K
99051 476 447 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 80 69 $7K
90474 228 203 $4K
90686 3,515 3,210 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 73 71 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 51 49 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 59 50 $2K
92551 4,461 4,071 $999.23
D0145 Oral evaluation for a patient under three years of age 31 29 $984.06
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 15 15 $924.56
36415 Collection of venous blood by venipuncture 340 287 $892.41
D1206 Topical application of fluoride varnish 31 29 $434.42
96160 76 71 $241.35
99173 1,666 1,536 $226.82
96161 15 13 $37.40
90656 282 274 $19.55
92552 85 84 $16.15
90677 122 117 $0.00
90680 245 216 $0.00
90647 310 263 $0.00
90723 319 282 $0.00
36416 15 12 $0.00
90670 728 633 $0.00
1159F 381 362 $0.00
1160F 381 362 $0.00
90633 71 62 $0.00