Rex Hospital INC
Rex Hospital INC was paid $3.40M by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 24% of everything it billed.
RALEIGH, NC 27607
Next to other Gastroenterology 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 | 11,411 | $378K | |
| 2019 | 12,217 | $495K | |
| 2020 | 10,964 | $552K | |
| 2021 | 11,502 | $656K | |
| 2022 | 7,469 | $399K | |
| 2023 | 9,519 | $497K | |
| 2024incomplete | 6,850 | $429K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 24% | 27,410 | 11,247 | $826K |
| 99238 | Hospital discharge day management, 30 minutes or less | 17% | 10,041 | 8,911 | $568K |
| 99460 | 13% | 5,914 | 5,335 | $445K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 12% | 9,623 | 4,259 | $419K |
| 99223 | Prolong inpt eval add15 m | 7.5% | 2,758 | 2,479 | $257K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 5.9% | 1,992 | 439 | $202K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 4.5% | 1,273 | 607 | $154K |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.3% | 2,948 | 2,658 | $145K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 4.2% | 1,472 | 1,133 | $145K |
| 99462 | 2.9% | 2,964 | 2,494 | $97K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.6% | 847 | 747 | $55K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 362 | 256 | $29K |
12 more codes
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 34 | $18K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 520 | $15K |
| 99283 | Emergency room visit (moderate) | <1% | 235 | $11K |
| 59025 | Fetal non-stress test | <1% | 274 | $4K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 47 | $4K |
| 99221 | <1% | 92 | $3K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,018 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 36 | $3K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 16 | $961.09 |
| 99220 | <1% | 13 | $565.97 | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 29 | $480.83 |
| 99497 | <1% | 14 | $144.59 |
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
| Provider | Location | Paid |
|---|---|---|
| Wake Specialty Physicians, LLC | Raleigh, NC | $14.80M |
| Rex Hospital INC | Raleigh, NC | $5.39M |
| Wakemed Specialists Group, LLC | Raleigh, NC | $4.37M |
| Wakemed Specialists Group LLC | Raleigh, NC | $3.65M |
| Wakemed Specialists Group, LLC | Raleigh, NC | $2.00M |
| Wakemed Specialists Group, LLC | Raleigh, NC | $1.65M |
| Wakemed Specialists Group, LLC | Raleigh, NC | $1.41M |
| Wakemed Specialists Group, LLC | Raleigh, NC | $790K |
| Wakemed Specialists Group, LLC | Raleigh, NC | $749K |
| Rex Hospital INC | Knightdale, NC | $742K |
| Wakemed Specialists Group, LLC | Raleigh, NC | $581K |
| Wakemed Specialists Group, LLC | Raleigh, NC | $514K |
| Rex Hospital INC | Raleigh, NC | $362K |
| Rex Hospital INC | Raleigh, NC | $349K |
| Rex Hospital INC | Raleigh, NC | $309K |
| Rex Hospital INC | Raleigh, NC | $261K |
| Rex Hospital INC | Garner, NC | $258K |
| Wakemed Specialists Group, LLC | Raleigh, NC | $184K |
| Rex Hospital INC | Raleigh, NC | $177K |
| Rex Hospital INC | Raleigh, NC | $140K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.