Wakemed Specialists Group, LLC
Wakemed Specialists Group, LLC was paid $581K by Medicaid between Sep 2019 and Dec 2024, across 7 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 46% of everything it billed.
RALEIGH, NC 27610
Next to other Pediatric Gastroenterology 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 | 172 | $19K | |
| 2020 | 453 | $58K | |
| 2021 | 840 | $101K | |
| 2022 | 1,031 | $107K | |
| 2023 | 1,150 | $119K | |
| 2024incomplete | 1,574 | $176K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99244 | Office or other outpatient consultation, moderate to high complexity | 46% | 1,665 | 1,566 | $269K |
| 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 | 36% | 2,264 | 2,095 | $212K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.9% | 324 | 295 | $40K |
| 97803 | 5.0% | 645 | 584 | $29K | |
| 97802 | 3.5% | 240 | 214 | $20K | |
| 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 | 1.2% | 52 | 52 | $7K |
| 99243 | <1% | 30 | 28 | $3K |
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 | $514K |
| 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.