Physician
Wake Forest Health Network LLC
Wake Forest Health Network LLC was paid $1.60M by Medicaid between Jun 2018 and Dec 2024, across 40 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 38% of everything it billed.
33Billing provider infoWAKE FOREST HEALTH NETWORK LLC
ASHEBORO, NC 27203
ASHEBORO, NC 27203
33aNPI1093219370assigned 03/21/2018
33bProvider typeFamily Medicine Physician
28Total paid$1.60M
24GClaims111,320
24DCodes billed40
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#78 of 960
Median peer was paid$135K
This provider vs. median12×
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 | 1,286 | $65K | |
| 2019 | 2,867 | $139K | |
| 2020 | 2,399 | $111K | |
| 2021 | 10,023 | $189K | |
| 2022 | 30,062 | $340K | |
| 2023 | 33,335 | $395K | |
| 2024incomplete | 31,348 | $366K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 38% | 87,214 | 45,920 | $606K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 8,060 | 6,814 | $455K |
| 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 | 17% | 3,857 | 3,281 | $269K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.8% | 604 | 556 | $61K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 478 | 426 | $44K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.6% | 2,268 | 1,977 | $42K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.1% | 1,038 | 904 | $34K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 193 | 169 | $18K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,273 | 1,100 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 454 | 403 | $11K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 224 | 220 | $11K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 136 | 89 | $10K |
28 more codes
| 96127 | <1% | 1,828 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 368 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 27 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 986 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 31 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 52 | $2K |
| 90686 | <1% | 662 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 48 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 112 | $1K |
| 90474 | <1% | 66 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 71 | $957.59 |
| D1206 | Topical application of fluoride varnish | <1% | 52 | $898.62 |
| 90734 | <1% | 46 | $711.04 | |
| 87807 | <1% | 35 | $456.09 | |
| 81003 | <1% | 127 | $203.49 | |
| 90670 | <1% | 342 | $200.00 | |
| 90656 | <1% | 50 | $197.42 | |
| 1159F | 0% | 43 | $0.00 | |
| 1160F | 0% | 44 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 99173 | 0% | 30 | $0.00 | |
| 3078F | 0% | 27 | $0.00 | |
| 90685 | 0% | 14 | $0.00 | |
| 90723 | 0% | 127 | $0.00 | |
| 90677 | 0% | 105 | $0.00 | |
| 90647 | 0% | 121 | $0.00 | |
| 90680 | 0% | 81 | $0.00 | |
| 3074F | 0% | 14 | $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.