Wake Forest Health Network LLC
Wake Forest Health Network LLC was paid $77K by Medicaid between Apr 2018 and Nov 2024, across 8 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 35% of everything it billed.
HIGH POINT, NC 27262
Next to other Internal 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 | 61 | $2K | |
| 2019 | 70 | $3K | |
| 2020 | 85 | $6K | |
| 2021 | 196 | $8K | |
| 2022 | 105 | $5K | |
| 2023 | 455 | $25K | |
| 2024incomplete | 428 | $27K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 35% | 250 | 238 | $27K |
| 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 | 33% | 614 | 556 | $26K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 26% | 381 | 350 | $20K |
| 99243 | 1.7% | 12 | 12 | $1K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 49 | 43 | $1K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.0% | 12 | 12 | $777.27 |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 20 | 12 | $766.08 |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 62 | 61 | $104.84 |
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.