Wake Forest Health Network LLC
Wake Forest Health Network LLC was paid $741K by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
HIGH POINT, NC 27262
Next to other Obstetrics 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 | 1,730 | $44K | |
| 2019 | 2,181 | $68K | |
| 2020 | 1,678 | $65K | |
| 2021 | 2,953 | $107K | |
| 2022 | 5,480 | $167K | |
| 2023 | 5,780 | $163K | |
| 2024incomplete | 3,445 | $127K |
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 | 40% | 5,719 | 4,671 | $297K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 25% | 2,399 | 1,986 | $183K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 6.8% | 350 | 289 | $50K |
| 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 | 4.5% | 446 | 376 | $34K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 4.0% | 637 | 591 | $29K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 3.8% | 411 | 353 | $28K |
| 76819 | Fetal biophysical profile; without non-stress testing | 2.6% | 290 | 176 | $19K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.1% | 194 | 169 | $16K |
| 81025 | 1.8% | 2,081 | 1,701 | $13K | |
| 87210 | 1.5% | 2,771 | 2,319 | $11K | |
| 36415 | Collection of venous blood by venipuncture | 1.5% | 4,791 | 3,668 | $11K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.5% | 736 | 607 | $11K |
18 more codes
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.3% | 249 | $9K |
| 76830 | Ultrasound, transvaginal | 1.1% | 119 | $8K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 86 | $6K |
| 59025 | Fetal non-stress test | <1% | 201 | $4K |
| 85027 | <1% | 508 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 194 | $2K |
| 85018 | <1% | 694 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 43 | $1K |
| 90715 | <1% | 30 | $1K | |
| 90686 | <1% | 51 | $544.45 | |
| 82950 | <1% | 84 | $432.65 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 37 | $251.58 |
| 99459 | <1% | 22 | $188.76 | |
| 1159F | 0% | 19 | $0.00 | |
| 1160F | 0% | 19 | $0.00 | |
| 0500F | 0% | 33 | $0.00 | |
| 3074F | 0% | 17 | $0.00 | |
| 3008F | 0% | 16 | $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.