Medicaid Provider Spending

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

WAKE FOREST HEALTH NETWORK LLC

NPI: 1124265236 · BERMUDA RUN, NC 27006 · Pediatrics Physician · NPI assigned 01/12/2009

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

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

$1.02M
Total Medicaid Paid
60,601
Total Claims
41,945
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGREVEN, CRAIG (SR VP CLINICAL OPERATIONS)
NPI Enumeration Date01/12/2009

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 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 ASHEBORO NC $1.60M
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 1,573 $56K
2019 2,301 $86K
2020 1,711 $53K
2021 10,241 $147K
2022 14,411 $227K
2023 17,077 $261K
2024 13,287 $187K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,609 6,569 $418K
99199 Unlisted special service, procedure or report 38,847 23,100 $280K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,052 1,814 $174K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,038 1,813 $38K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 798 707 $28K
96127 4,100 3,709 $17K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 949 451 $12K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 138 126 $11K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,268 1,124 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 804 734 $10K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 97 86 $8K
90472 Immunization administration, each additional vaccine (list separately) 170 139 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 30 24 $2K
99401 50 44 $2K
90686 645 589 $863.91
D0145 Oral evaluation for a patient under three years of age 13 13 $515.32
D1206 Topical application of fluoride varnish 13 13 $227.24
87807 12 12 $169.56
92551 335 306 $60.11
99173 302 277 $39.01
1160F 152 136 $0.00
1159F 152 136 $0.00
90656 27 23 $0.00