Medicaid Provider Spending

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

WAKE FOREST HEALTH NETWORK LLC

NPI: 1093219370 · ASHEBORO, NC 27203 · Family Medicine Physician · NPI assigned 03/21/2018

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

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

$1.60M
Total Medicaid Paid
111,320
Total Claims
66,566
Beneficiaries
40
Codes Billed
2018-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGREVEN, CRAIG (SR VP CLINICAL OPERATIONS)
NPI Enumeration Date03/21/2018

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 WINSTON SALEM NC $4.62M
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 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 1,286 $65K
2019 2,867 $139K
2020 2,399 $111K
2021 10,023 $189K
2022 30,062 $340K
2023 33,335 $395K
2024 31,348 $366K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 87,214 45,920 $606K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,060 6,814 $455K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,857 3,281 $269K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 604 556 $61K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 478 426 $44K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,268 1,977 $42K
90472 Immunization administration, each additional vaccine (list separately) 1,038 904 $34K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 193 169 $18K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,273 1,100 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 454 403 $11K
90460 Immunization administration through 18 years of age via any route, first or only component 224 220 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 136 89 $10K
96127 1,828 1,604 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 368 181 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 27 27 $3K
36415 Collection of venous blood by venipuncture 986 835 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 31 31 $2K
D0145 Oral evaluation for a patient under three years of age 52 51 $2K
90686 662 581 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 48 47 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 112 100 $1K
90474 66 56 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 71 61 $957.59
D1206 Topical application of fluoride varnish 52 51 $898.62
90734 46 39 $711.04
87807 35 33 $456.09
81003 127 104 $203.49
90670 342 286 $200.00
90656 50 47 $197.42
1159F 43 40 $0.00
1160F 44 41 $0.00
90710 12 12 $0.00
99173 30 26 $0.00
3078F 27 25 $0.00
90685 14 14 $0.00
90723 127 116 $0.00
90677 105 103 $0.00
90647 121 111 $0.00
90680 81 72 $0.00
3074F 14 13 $0.00