Wake Forest Health Network LLC
Wake Forest Health Network LLC was paid $1.02M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
BERMUDA RUN, NC 27006
Next to other Pediatrics Physician providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,573 | $56K | |
| 2019 | 2,301 | $86K | |
| 2020 | 1,711 | $53K | |
| 2021 | 10,241 | $147K | |
| 2022 | 14,411 | $227K | |
| 2023 | 17,077 | $261K | |
| 2024incomplete | 13,287 | $187K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 7,609 | 6,569 | $418K |
| 99199 | Unlisted special service, procedure or report | 28% | 38,847 | 23,100 | $280K |
| 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% | 2,052 | 1,814 | $174K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.7% | 2,038 | 1,813 | $38K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.7% | 798 | 707 | $28K |
| 96127 | 1.6% | 4,100 | 3,709 | $17K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 949 | 451 | $12K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 138 | 126 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 1,268 | 1,124 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 804 | 734 | $10K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 97 | 86 | $8K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 170 | 139 | $5K |
11 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 30 | $2K |
| 99401 | <1% | 50 | $2K | |
| 90686 | <1% | 645 | $863.91 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 13 | $515.32 |
| D1206 | Topical application of fluoride varnish | <1% | 13 | $227.24 |
| 87807 | <1% | 12 | $169.56 | |
| 92551 | <1% | 335 | $60.11 | |
| 99173 | <1% | 302 | $39.01 | |
| 1160F | 0% | 152 | $0.00 | |
| 1159F | 0% | 152 | $0.00 | |
| 90656 | 0% | 27 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.