Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Wake Forest Health Network LLC

Wake Forest Health Network LLC was paid $544K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99243, — 27% of everything it billed.

33Billing provider infoWAKE FOREST HEALTH NETWORK LLC
GREENSBORO, NC 27401
33aNPI1114293818assigned 03/27/2012
33bProvider typeOtolaryngology Physician
28Total paid$544K
24GClaims8,686
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Otolaryngology Physician providers in North Carolina

Rank by total paid#8 of 42
Median peer was paid$109K
This provider vs. median5.0×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2018894$52K
2019818$50K
2020390$23K
2021877$62K
20221,489$101K
20231,862$126K
2024incomplete2,356$129K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99243 27% 1,622 1,413 $147K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26% 2,169 1,938 $142K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 2,519 2,190 $108K
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 6.7% 330 243 $36K
99244 Office or other outpatient consultation, moderate to high complexity 6.0% 242 198 $32K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 4.7% 557 493 $25K
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 4.2% 341 309 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.3% 454 392 $12K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 2.0% 71 55 $11K
69210 <1% 160 132 $5K
92567 <1% 123 109 $1K
99024 0% 98 90 $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)
Same official

Other billing entities under GREVEN, CRAIG

Full network →
ProviderLocationPaid
Wake Forest Health Network LLCHigh Point, NC$5.44M
Wake Forest Health Network LLCWinston Salem, NC$4.62M
Wake Forest Health Network LLCGreensboro, NC$3.78M
Wake Forest Health Network LLCKernersville, NC$2.25M
Wake Forest Health Network LLCKernersville, NC$1.81M
Wake Forest Health Network LLCAsheboro, NC$1.60M
Wake Forest Health Network LLCBermuda Run, NC$1.02M
Wake Forest Health Network LLCAsheboro, NC$907K
Wake Forest Health Network LLCHigh Point, NC$814K
Wake Forest Health Network LLCHigh Point, NC$767K
Wake Forest Health Network LLCHigh Point, NC$741K
Wake Forest Health Network LLCAsheboro, NC$730K
Wake Forest Health Network LLCAsheboro, NC$722K
Wake Forest Health Network LLCJonesville, NC$683K
Wake Forest Health Network LLCConover, NC$669K
Wake Forest Health Network, LLCHigh Point, NC$628K
Wake Forest Health Network LLCArchdale, NC$552K
Wake Forest Health Network LLCHigh Point, NC$444K
Wake Forest Health Network LLCHigh Point, NC$427K
Wake Forest Health Network LLCThomasville, NC$403K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.