Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Raleigh › NPI 1205491487
Physician

Wakemed Specialists Group LLC

Wakemed Specialists Group LLC was paid $57K by Medicaid between Oct 2019 and Oct 2024, across 12 billing codes. Its largest line is 54161, — 47% of everything it billed.

33Billing provider infoWAKEMED SPECIALISTS GROUP LLC
RALEIGH, NC 27610
33aNPI1205491487assigned 05/03/2019
33bProvider typeUrology Physician
28Total paid$57K
24GClaims1,039
24DCodes billed12
24AFirst – last monthOct 2019 – Oct 2024
Compared with peers

Next to other Urology Physician providers in North Carolina

Rank by total paid#20 of 69
Median peer was paid$15K
This provider vs. median3.9×

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

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
201944$491.10
202081$1K
2021448$18K
202214$587.30
2023131$8K
2024incomplete321$28K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
54161 47% 105 81 $26K
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 16% 236 198 $9K
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 9.7% 58 48 $6K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.7% 141 126 $4K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7.2% 48 47 $4K
99243 5.1% 30 29 $3K
99244 Office or other outpatient consultation, moderate to high complexity 3.8% 15 14 $2K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.0% 33 12 $1K
81003 <1% 248 211 $447.65
51798 <1% 37 24 $246.00
82570 <1% 44 42 $184.55
81001 <1% 44 42 $112.37

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 officialJAYOUSSI, MARIA (EXECUTIVE DIRECTOR OF FINANCE)
Same official

Other billing entities under JAYOUSSI, MARIA

Full network →
ProviderLocationPaid
Wake Specialty Physicians, LLCRaleigh, NC$14.80M
Rex Hospital INCRaleigh, NC$5.39M
Wakemed Specialists Group, LLCRaleigh, NC$4.37M
Wakemed Specialists Group LLCRaleigh, NC$3.65M
Rex Hospital INCRaleigh, NC$3.40M
Wakemed Specialists Group, LLCRaleigh, NC$2.00M
Wakemed Specialists Group, LLCRaleigh, NC$1.65M
Wakemed Specialists Group, LLCRaleigh, NC$1.41M
Wakemed Specialists Group, LLCRaleigh, NC$790K
Wakemed Specialists Group, LLCRaleigh, NC$749K
Rex Hospital INCKnightdale, NC$742K
Wakemed Specialists Group, LLCRaleigh, NC$581K
Wakemed Specialists Group, LLCRaleigh, NC$514K
Rex Hospital INCRaleigh, NC$362K
Rex Hospital INCRaleigh, NC$349K
Rex Hospital INCRaleigh, NC$309K
Rex Hospital INCRaleigh, NC$261K
Rex Hospital INCGarner, NC$258K
Wakemed Specialists Group, LLCRaleigh, NC$184K
Rex Hospital INCRaleigh, NC$177K

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