Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Knightdale › NPI 1164710810
Physician

UNC Physicians Network, LLC

UNC Physicians Network, LLC was paid $613K by Medicaid between Mar 2019 and Dec 2024, across 8 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 80% of everything it billed.

33Billing provider infoUNC PHYSICIANS NETWORK, LLC
KNIGHTDALE, NC 27545
33aNPI1164710810assigned 07/15/2011
28Total paid$613K
24GClaims42,986
24DCodes billed8
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in North Carolina

Rank by total paid#213 of 960
Median peer was paid$135K
This provider vs. median4.5×

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 FISCUS, LYNNE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
201912$241.16
202029$2K
20217,639$58K
20226,103$81K
20239,774$159K
2024incomplete19,429$313K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99199 Unlisted special service, procedure or report 80% 40,404 33,351 $490K
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 15% 1,791 1,607 $93K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.7% 565 505 $23K
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% 58 54 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 92 89 $833.99
90656 <1% 47 45 $744.84
83036 Hemoglobin; glycosylated (A1C) <1% 16 14 $57.70
96127 <1% 13 13 $48.34

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 officialFISCUS, LYNNE (CMO)
Same official

Other billing entities under FISCUS, LYNNE

Full network →
ProviderLocationPaid
UNC Physicians Network LLCMorrisville, NC$46.82M
UNC Physicians Network, LLCMorrisville, NC$3.22M
UNC Physicians Network LLCChapel Hill, NC$2.78M
UNC Physicians Network LLCMorrisville, NC$2.40M
UNC Physicians Network LLCDurham, NC$2.05M
UNC Physicians Network LLCSiler City, NC$1.37M
UNC Physicians Network, LLCCary, NC$863K
UNC Physicians Network, LLCMebane, NC$832K
UNC Physicians Network, LLCHolly Springs, NC$818K
UNC Physicians Network LLCChapel Hill, NC$697K
UNC Physicians Network LLCPittsboro, NC$454K
UNC Physicians Network LLCDurham, NC$451K
UNC Physicians Network, LLCRaleigh, NC$415K
UNC Physicians Network LLCHillsborough, NC$386K
UNC Physicians Network LLCSanford, NC$331K
UNC Physicians Network, LLCChapel Hill, NC$298K
UNC Physicians Network, LLCCary, NC$91K
UNC Physicians Network LLCChapel Hill, NC$77K
UNC Physicians Network Group Practices, LLCGarner, NC$61K
UNC Physicians Network, LLCChapel Hill, NC$38K

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