Wake Forest Health Network LLC
Wake Forest Health Network LLC was paid $767K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 47% of everything it billed.
HIGH POINT, NC 27262
Next to other Sports Medicine (Family Medicine) 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 | 1,677 | $65K | |
| 2019 | 1,832 | $85K | |
| 2020 | 477 | $20K | |
| 2021 | 5,308 | $106K | |
| 2022 | 17,776 | $187K | |
| 2023 | 17,598 | $174K | |
| 2024incomplete | 12,640 | $131K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 47% | 48,657 | 26,017 | $363K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 4,919 | 4,353 | $237K |
| 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 | 20% | 2,505 | 2,183 | $154K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 342 | 310 | $6K |
| 96127 | <1% | 498 | 433 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 13 | 13 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | 12 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 30 | 27 | $955.33 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 16 | 15 | $502.15 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 34 | 16 | $452.16 |
| 90686 | <1% | 105 | 96 | $428.15 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 42 | 42 | $271.68 |
4 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 17 | $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) | <1% | 13 | $32.57 |
| 99173 | <1% | 64 | $16.48 | |
| 92551 | <1% | 40 | $8.10 |
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.