Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WAKE FOREST HEALTH NETWORK LLC

NPI: 1275658692 · HIGH POINT, NC 27262 · Sports Medicine (Family Medicine) Physician · NPI assigned 03/21/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GREVEN, CRAIG controls 20+ related entities in our dataset. Read more

$767K
Total Medicaid Paid
57,308
Total Claims
33,629
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGREVEN, CRAIG (SR VP CLINICAL OPERATIONS)
NPI Enumeration Date03/21/2007

Related Entities

Other providers sharing the same authorized official: GREVEN, CRAIG

ProviderCityStateTotal Paid
WAKE FOREST HEALTH NETWORK LLC HIGH POINT NC $5.44M
WAKE FOREST HEALTH NETWORK LLC WINSTON SALEM NC $4.62M
WAKE FOREST HEALTH NETWORK LLC GREENSBORO NC $3.78M
WAKE FOREST HEALTH NETWORK LLC KERNERSVILLE NC $2.25M
WAKE FOREST HEALTH NETWORK LLC KERNERSVILLE NC $1.81M
WAKE FOREST HEALTH NETWORK LLC ASHEBORO NC $1.60M
WAKE FOREST HEALTH NETWORK LLC BERMUDA RUN NC $1.02M
WAKE FOREST HEALTH NETWORK LLC ASHEBORO NC $907K
WAKE FOREST HEALTH NETWORK LLC HIGH POINT NC $814K
WAKE FOREST HEALTH NETWORK LLC HIGH POINT NC $741K
WAKE FOREST HEALTH NETWORK LLC ASHEBORO NC $730K
WAKE FOREST HEALTH NETWORK LLC ASHEBORO NC $722K
WAKE FOREST HEALTH NETWORK LLC JONESVILLE NC $683K
WAKE FOREST HEALTH NETWORK LLC CONOVER NC $669K
WAKE FOREST HEALTH NETWORK, LLC HIGH POINT NC $628K
WAKE FOREST HEALTH NETWORK LLC ARCHDALE NC $552K
WAKE FOREST HEALTH NETWORK LLC GREENSBORO NC $544K
WAKE FOREST HEALTH NETWORK LLC HIGH POINT NC $444K
WAKE FOREST HEALTH NETWORK LLC HIGH POINT NC $427K
WAKE FOREST HEALTH NETWORK LLC THOMASVILLE NC $403K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,677 $65K
2019 1,832 $85K
2020 477 $20K
2021 5,308 $106K
2022 17,776 $187K
2023 17,598 $174K
2024 12,640 $131K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 48,657 26,017 $363K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,919 4,353 $237K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,505 2,183 $154K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 342 310 $6K
96127 498 433 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13 13 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 12 $1K
90472 Immunization administration, each additional vaccine (list separately) 30 27 $955.33
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 16 15 $502.15
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 34 16 $452.16
90686 105 96 $428.15
96110 Developmental screening, with scoring and documentation, per standardized instrument 42 42 $271.68
36415 Collection of venous blood by venipuncture 17 13 $40.36
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 13 13 $32.57
99173 64 50 $16.48
92551 40 36 $8.10