Wakemed Specialists Group, LLC
Wakemed Specialists Group, LLC was paid $514K by Medicaid between Nov 2019 and Dec 2024, across 14 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 43% of everything it billed.
RALEIGH, NC 27610
Next to other Psychiatry 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 | |
|---|---|---|---|
| 2019 | 82 | $506.07 | |
| 2020 | 190 | $413.19 | |
| 2021 | 1,063 | $27K | |
| 2022 | 2,817 | $57K | |
| 2023 | 4,547 | $103K | |
| 2024incomplete | 8,078 | $327K |
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 | 43% | 8,800 | 3,646 | $220K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 26% | 3,052 | 2,478 | $136K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 12% | 1,128 | 469 | $59K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.3% | 1,299 | 546 | $38K |
| 99223 | Prolong inpt eval add15 m | 4.0% | 228 | 210 | $20K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.9% | 434 | 391 | $20K |
| 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 | 1.2% | 1,229 | 349 | $6K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.2% | 95 | 89 | $6K |
| 99205 | Prolong outpt/office vis | <1% | 22 | 16 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 191 | 101 | $3K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 45 | 41 | $2K |
| 99245 | <1% | 43 | 40 | $1K |
2 more codes
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 |
| Rex Hospital INC | Raleigh, NC | $3.40M |
| 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 |
| 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.